| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
485 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
52 |
50 |
$464.64 |
| 86140 |
|
67 |
65 |
$295.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
39 |
$284.73 |
| 85652 |
|
41 |
40 |
$12.54 |
| 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) |
26 |
26 |
$0.00 |