| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
374 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
79 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
146 |
139 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
139 |
$1K |
| 90686 |
|
30 |
30 |
$601.28 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
59 |
58 |
$571.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$184.10 |
| 80061 |
Lipid panel |
12 |
12 |
$164.11 |