| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
325 |
$35K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
25 |
25 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
71 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
123 |
$841.25 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
24 |
$555.84 |
| 36415 |
Collection of venous blood by venipuncture |
155 |
150 |
$325.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
38 |
38 |
$271.21 |
| 80076 |
|
35 |
35 |
$240.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$214.37 |
| 81000 |
|
12 |
12 |
$37.68 |