| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,320 |
1,121 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
66 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
34 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
62 |
$331.38 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$134.68 |
| 86140 |
|
25 |
25 |
$102.60 |
| 80076 |
|
12 |
12 |
$95.76 |
| 85652 |
|
25 |
25 |
$55.10 |
| 82565 |
|
12 |
12 |
$51.80 |
| 84520 |
|
12 |
12 |
$42.46 |