| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
515 |
441 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
211 |
$9K |
| 80053 |
Comprehensive metabolic panel |
145 |
128 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
36 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
160 |
151 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
27 |
$689.65 |
| 36415 |
Collection of venous blood by venipuncture |
524 |
456 |
$26.34 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |