| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,009 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
77 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
840 |
648 |
$810.92 |
| 90674 |
|
35 |
33 |
$275.89 |
| 90756 |
|
38 |
30 |
$198.30 |
| G0008 |
Administration of influenza virus vaccine |
99 |
83 |
$131.90 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
29 |
$112.28 |
| 90686 |
|
12 |
12 |
$99.54 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
12 |
$69.29 |
| 80053 |
Comprehensive metabolic panel |
16 |
12 |
$46.56 |
| 90694 |
|
18 |
14 |
$0.00 |