| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,016 |
1,858 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,279 |
$58K |
| 90686 |
|
84 |
78 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
50 |
37 |
$702.24 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$134.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$68.88 |