| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
812 |
699 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
109 |
100 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
14 |
$903.01 |
| 82728 |
|
25 |
24 |
$533.03 |
| 85027 |
|
21 |
13 |
$481.51 |
| 83540 |
|
25 |
24 |
$255.56 |
| 80053 |
Comprehensive metabolic panel |
15 |
12 |
$216.26 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$37.72 |