| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,258 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
292 |
289 |
$32.90 |
| 93000 |
|
12 |
12 |
$21.30 |
| 99080 |
|
58 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
414 |
404 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
45 |
45 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$0.00 |