| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,236 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
102 |
$2K |
| 81025 |
|
138 |
113 |
$352.26 |
| 80053 |
Comprehensive metabolic panel |
208 |
176 |
$336.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
66 |
47 |
$198.12 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$170.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
120 |
97 |
$158.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
26 |
$124.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
13 |
$93.87 |
| 81002 |
|
66 |
57 |
$52.17 |
| 83735 |
|
30 |
26 |
$38.44 |
| 90658 |
|
22 |
18 |
$29.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
13 |
$2.27 |