| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
802 |
735 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 91200 |
|
96 |
94 |
$697.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$637.87 |
| 80053 |
Comprehensive metabolic panel |
23 |
12 |
$119.14 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
12 |
$66.01 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
12 |
$16.40 |