| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
674 |
595 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
128 |
89 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
906 |
761 |
$1K |
| 99490 |
Ccm add 20min |
216 |
216 |
$973.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
69 |
$417.68 |
| 80053 |
Comprehensive metabolic panel |
213 |
199 |
$221.32 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13 |
12 |
$124.34 |
| 82728 |
|
15 |
14 |
$122.76 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$114.23 |
| 83550 |
|
15 |
14 |
$78.66 |
| 83735 |
|
35 |
31 |
$65.88 |
| 83540 |
|
15 |
14 |
$58.23 |
| 83615 |
|
22 |
19 |
$54.36 |
| 84100 |
|
22 |
19 |
$47.40 |
| 84550 |
|
22 |
19 |
$40.68 |
| 36415 |
Collection of venous blood by venipuncture |
493 |
442 |
$8.29 |