| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,502 |
2,416 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
96 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
129 |
127 |
$270.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
76 |
76 |
$254.94 |
| 90694 |
|
12 |
12 |
$71.68 |
| 80053 |
Comprehensive metabolic panel |
63 |
63 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 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) |
51 |
51 |
$0.00 |
| 80061 |
Lipid panel |
48 |
48 |
$0.00 |