| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,528 |
1,264 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
220 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
244 |
203 |
$95.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
75 |
65 |
$94.60 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
60 |
53 |
$58.92 |
| 3074F |
|
206 |
174 |
$10.00 |
| 3078F |
|
234 |
187 |
$10.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
37 |
$0.00 |