| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
399 |
359 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
40 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
94 |
84 |
$623.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
26 |
$213.15 |
| 80053 |
Comprehensive metabolic panel |
142 |
129 |
$172.69 |
| 81002 |
|
57 |
54 |
$147.07 |