| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
554 |
547 |
$12K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
420 |
420 |
$6K |
| 80069 |
|
101 |
100 |
$161.47 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
60 |
59 |
$110.05 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$70.17 |
| 83735 |
|
40 |
40 |
$49.60 |
| 81003 |
|
59 |
59 |
$46.00 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
85 |
$45.00 |
| 84550 |
|
12 |
12 |
$27.14 |