| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
596 |
538 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
831 |
721 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
100 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
459 |
395 |
$3K |
| 80061 |
Lipid panel |
124 |
107 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
33 |
$773.60 |
| 80053 |
Comprehensive metabolic panel |
115 |
99 |
$479.02 |
| 87430 |
|
51 |
41 |
$450.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
28 |
$363.50 |
| 36415 |
Collection of venous blood by venipuncture |
188 |
164 |
$119.56 |
| 81003 |
|
17 |
15 |
$34.00 |
| 90756 |
|
12 |
12 |
$1.75 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |