| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
106 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$616.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
136 |
121 |
$149.60 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
52 |
$1.26 |
| 80053 |
Comprehensive metabolic panel |
17 |
13 |
$0.00 |