| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,668 |
1,435 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,855 |
1,702 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$1K |
| 80053 |
Comprehensive metabolic panel |
47 |
39 |
$486.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
37 |
$258.30 |
| 90686 |
|
17 |
16 |
$248.28 |