| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
155 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
88 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$70.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
13 |
$10.20 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$5.51 |