| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
249 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
955 |
798 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
116 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,227 |
942 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
23 |
22 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
38 |
$305.40 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
36 |
33 |
$11.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
46 |
39 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
19 |
14 |
$0.00 |