| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
26 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$79.68 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$60.06 |
| 1160F |
|
75 |
70 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
46 |
42 |
$0.00 |
| 1159F |
|
75 |
70 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 1126F |
|
72 |
70 |
$0.00 |
| 3008F |
|
104 |
98 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3074F |
|
31 |
31 |
$0.00 |