| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
296 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
94 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| A4550 |
Surgical trays |
41 |
40 |
$417.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
25 |
$135.99 |
| 81003 |
|
69 |
65 |
$134.85 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$82.20 |
| 99070 |
|
76 |
71 |
$40.93 |
| 81025 |
|
18 |
17 |
$0.00 |