| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,007 |
6,026 |
$408K |
| 99215 |
Prolong outpt/office vis |
472 |
403 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
502 |
422 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
89 |
87 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,126 |
4,138 |
$17K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
28 |
27 |
$14K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
96 |
95 |
$13K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
28 |
28 |
$5K |
| 80053 |
Comprehensive metabolic panel |
471 |
429 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
28 |
25 |
$11.94 |