| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,728 |
3,674 |
$267K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,596 |
1,322 |
$71K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,650 |
1,386 |
$9K |
| 80305 |
|
703 |
616 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
43 |
$5K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,312 |
1,068 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
28 |
$509.56 |
| 90686 |
|
35 |
27 |
$461.10 |
| 81002 |
|
209 |
185 |
$409.11 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$330.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
29 |
$314.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
27 |
$138.04 |