| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
145 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
72 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
39 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
26 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
253 |
253 |
$677.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
178 |
123 |
$546.21 |
| 36415 |
Collection of venous blood by venipuncture |
298 |
193 |
$235.22 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
16 |
$206.07 |
| 81001 |
|
151 |
111 |
$193.67 |
| 82044 |
|
12 |
12 |
$17.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
20 |
12 |
$6.45 |
| 99000 |
|
248 |
172 |
$0.00 |