| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,164 |
1,007 |
$122K |
| 99233 |
Prolong inpt eval add15 m |
924 |
260 |
$65K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
72 |
24 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
224 |
159 |
$739.23 |
| 85610 |
|
162 |
107 |
$337.79 |
| 80053 |
Comprehensive metabolic panel |
70 |
34 |
$326.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
30 |
25 |
$162.93 |
| 80076 |
|
32 |
27 |
$139.32 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
43 |
$8.20 |