| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,672 |
3,493 |
$170K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,219 |
3,069 |
$104K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,402 |
1,337 |
$11K |
| 80053 |
Comprehensive metabolic panel |
793 |
622 |
$9K |
| 90686 |
|
550 |
550 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
689 |
511 |
$4K |
| 85027 |
|
241 |
206 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
109 |
101 |
$980.94 |
| G0008 |
Administration of influenza virus vaccine |
107 |
107 |
$971.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
36 |
$712.62 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15 |
13 |
$385.16 |
| 83735 |
|
16 |
16 |
$101.93 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90656 |
|
71 |
71 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
19 |
17 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
35 |
33 |
$0.00 |