| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
144 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
18 |
$785.65 |
| 36415 |
Collection of venous blood by venipuncture |
260 |
208 |
$240.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$13.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$9.59 |