| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,133 |
1,020 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
699 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
27 |
$928.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$476.16 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
14 |
$96.05 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
73 |
$93.26 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
128 |
$3.00 |