| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
260 |
$37K |
| 99215 |
Prolong outpt/office vis |
32 |
31 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
16 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
40 |
$4K |
| 20610 |
|
84 |
65 |
$3K |
| 80053 |
Comprehensive metabolic panel |
124 |
94 |
$851.74 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
115 |
89 |
$509.17 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
28 |
$32.80 |