| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
440 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
263 |
$5K |
| A4550 |
Surgical trays |
30 |
28 |
$132.16 |
| 81003 |
|
96 |
95 |
$130.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
31 |
$122.69 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
27 |
$117.05 |
| 99070 |
|
143 |
136 |
$101.77 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |