| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
320 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
196 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
53 |
48 |
$279.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
58 |
$226.65 |
| A4550 |
Surgical trays |
32 |
28 |
$210.94 |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$140.30 |
| 81003 |
|
87 |
82 |
$117.92 |
| 99070 |
|
130 |
114 |
$52.35 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
18 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
16 |
$0.00 |