| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
91 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$558.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$482.82 |
| 93000 |
|
13 |
13 |
$125.31 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
40 |
$75.26 |
| 94760 |
|
59 |
48 |
$37.62 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
28 |
28 |
$25.34 |
| 82962 |
|
18 |
12 |
$24.35 |