| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
93 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
37 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
25 |
$196.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
12 |
$165.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
13 |
$91.84 |
| 99490 |
Ccm add 20min |
14 |
14 |
$37.20 |