| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
136 |
$122.38 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
146 |
$73.83 |
| 80061 |
Lipid panel |
29 |
27 |
$0.00 |
| 80076 |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
418 |
339 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
84 |
70 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
57 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |