| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
105 |
$380.10 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
81 |
$336.80 |
| 80053 |
Comprehensive metabolic panel |
19 |
16 |
$10.12 |
| 81002 |
|
37 |
33 |
$6.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
25 |
$4.56 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
41 |
$4.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
16 |
$0.00 |
| 80061 |
Lipid panel |
14 |
12 |
$0.00 |