| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,753 |
2,396 |
$144K |
| 80053 |
Comprehensive metabolic panel |
173 |
128 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
18 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
167 |
123 |
$963.52 |
| 85652 |
|
197 |
148 |
$513.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$509.75 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
32 |
$143.50 |
| 86140 |
|
17 |
12 |
$77.36 |