| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
550 |
547 |
$16K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
261 |
261 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
19 |
$44.01 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$37.22 |
| 81003 |
|
18 |
17 |
$13.85 |
| 80069 |
|
29 |
28 |
$0.00 |
| 83735 |
|
29 |
28 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
205 |
205 |
$0.00 |