| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
226 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
61 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85 |
77 |
$555.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$72.54 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
44 |
$12.00 |
| 3074F |
|
153 |
130 |
$0.00 |
| 3078F |
|
128 |
111 |
$0.00 |