| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,887 |
1,857 |
$54K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
834 |
834 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
186 |
185 |
$354.70 |
| 81003 |
|
177 |
174 |
$163.44 |
| 80069 |
|
209 |
206 |
$122.22 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
46 |
$101.94 |
| 90961 |
|
15 |
15 |
$41.62 |
| 83970 |
|
95 |
95 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
439 |
432 |
$0.00 |
| 84550 |
|
13 |
13 |
$0.00 |
| 83735 |
|
31 |
31 |
$0.00 |