| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259 |
173 |
$378.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
147 |
127 |
$223.82 |
| 81002 |
|
239 |
151 |
$165.00 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
37 |
$6.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
15 |
12 |
$0.00 |