| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,634 |
1,286 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
485 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
100 |
$14K |
| 99215 |
Prolong outpt/office vis |
36 |
28 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
12 |
$2K |
| 99401 |
|
14 |
13 |
$329.46 |
| 84402 |
|
20 |
12 |
$178.29 |
| 84270 |
|
20 |
12 |
$152.11 |
| 81003 |
|
423 |
328 |
$123.42 |
| 80053 |
Comprehensive metabolic panel |
21 |
13 |
$78.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
12 |
$42.39 |
| 36415 |
Collection of venous blood by venipuncture |
160 |
99 |
$0.00 |