| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,007 |
2,524 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
488 |
395 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
426 |
120 |
$23K |
| 80053 |
Comprehensive metabolic panel |
1,822 |
1,414 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,123 |
1,551 |
$12K |
| 83020 |
|
1,159 |
893 |
$11K |
| 85046 |
|
1,798 |
1,372 |
$9K |
| 99215 |
Prolong outpt/office vis |
70 |
53 |
$3K |
| 83021 |
|
224 |
191 |
$3K |
| 82248 |
|
1,216 |
938 |
$2K |
| 90686 |
|
171 |
116 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
979 |
766 |
$667.89 |
| 85045 |
|
150 |
143 |
$262.00 |
| 82570 |
|
13 |
12 |
$60.58 |
| 82043 |
|
13 |
12 |
$52.63 |
| 81001 |
|
18 |
12 |
$48.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
31 |
$0.00 |