| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
757 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
246 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
145 |
121 |
$440.64 |
| 90686 |
|
46 |
36 |
$209.33 |
| 80053 |
Comprehensive metabolic panel |
17 |
14 |
$80.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
16 |
$39.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
28 |
$11.60 |
| 3078F |
|
272 |
216 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
50 |
41 |
$0.00 |
| 1160F |
|
98 |
74 |
$0.00 |
| 1159F |
|
129 |
95 |
$0.00 |
| 3074F |
|
230 |
183 |
$0.00 |