| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
235 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
72 |
$2K |
| A4550 |
Surgical trays |
36 |
36 |
$262.14 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26 |
26 |
$82.20 |
| 81003 |
|
25 |
25 |
$41.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$30.21 |
| 99070 |
|
67 |
62 |
$13.15 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
31 |
$10.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$0.00 |