| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
269 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
226 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
58 |
58 |
$481.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
40 |
$320.04 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
107 |
$265.29 |
| 80076 |
|
12 |
12 |
$96.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$0.00 |