| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,665 |
3,425 |
$143K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,630 |
1,366 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
557 |
477 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
53 |
26 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
49 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
37 |
$538.92 |