| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,191 |
2,296 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
231 |
182 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
41 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
45 |
$1K |
| 94690 |
|
18 |
16 |
$321.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
38 |
$160.00 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
101 |
$152.00 |
| 94375 |
|
18 |
16 |
$96.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
14 |
$70.00 |
| 94200 |
|
18 |
16 |
$56.00 |
| 3074F |
|
145 |
13 |
$0.00 |
| 3078F |
|
173 |
40 |
$0.00 |