| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
260 |
232 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
64 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
30 |
$28.72 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
87 |
$15.33 |
| 80053 |
Comprehensive metabolic panel |
18 |
14 |
$0.00 |