| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
626 |
$53K |
| 99215 |
Prolong outpt/office vis |
322 |
321 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
191 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
196 |
$9K |
| 80053 |
Comprehensive metabolic panel |
128 |
128 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
154 |
154 |
$1K |
| 86140 |
|
214 |
214 |
$1K |
| 85652 |
|
131 |
131 |
$90.75 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
47 |
$21.00 |
| 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) |
109 |
109 |
$0.00 |