| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
678 |
492 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,336 |
901 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
373 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99215 |
Prolong outpt/office vis |
22 |
12 |
$815.34 |
| 51798 |
|
283 |
174 |
$662.56 |
| 81003 |
|
1,220 |
832 |
$606.15 |
| 80053 |
Comprehensive metabolic panel |
20 |
13 |
$82.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50 |
27 |
$45.36 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
12 |
$10.00 |
| 36591 |
|
18 |
12 |
$0.00 |