| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,656 |
1,415 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
155 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
401 |
342 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
159 |
143 |
$604.12 |
| 90686 |
|
44 |
42 |
$396.18 |
| 36415 |
Collection of venous blood by venipuncture |
398 |
331 |
$383.49 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
30 |
25 |
$240.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$185.29 |
| 80053 |
Comprehensive metabolic panel |
97 |
82 |
$159.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
13 |
$141.16 |
| 81003 |
|
29 |
27 |
$28.74 |
| 80061 |
Lipid panel |
16 |
16 |
$21.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$11.76 |