| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
291 |
$925.42 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$47.71 |
| 85027 |
|
25 |
24 |
$0.84 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$0.32 |
| 80076 |
|
17 |
16 |
$0.28 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
51 |
46 |
$0.02 |
| 4040F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |