| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
236 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
15 |
$463.63 |
| 83735 |
|
32 |
28 |
$68.34 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$39.27 |
| 83721 |
|
13 |
12 |
$20.62 |
| 36415 |
Collection of venous blood by venipuncture |
59 |
51 |
$18.55 |
| 3017F |
|
17 |
17 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
20 |
20 |
$0.00 |
| 4040F |
|
19 |
19 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
15 |
15 |
$0.00 |