| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,756 |
2,333 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,125 |
1,023 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
144 |
115 |
$12K |
| 90686 |
|
33 |
24 |
$696.99 |
| 84443 |
Thyroid stimulating hormone (TSH) |
39 |
37 |
$623.96 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$311.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
29 |
$154.98 |
| 80061 |
Lipid panel |
15 |
15 |
$80.86 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$2.82 |