| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
913 |
910 |
$18K |
| 99499 |
|
42 |
42 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,427 |
1,382 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
164 |
163 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
66 |
$603.82 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
244 |
238 |
$395.53 |
| 80053 |
Comprehensive metabolic panel |
570 |
567 |
$296.53 |
| 80076 |
|
210 |
204 |
$276.09 |
| 85651 |
|
527 |
525 |
$147.54 |
| 99000 |
|
330 |
322 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
687 |
668 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$0.00 |
| 90686 |
|
38 |
38 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |