| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,178 |
1,930 |
$191K |
| 99215 |
Prolong outpt/office vis |
1,355 |
1,271 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
206 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
29 |
$2K |
| 80053 |
Comprehensive metabolic panel |
114 |
89 |
$685.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
86 |
$412.27 |
| 20610 |
|
15 |
13 |
$323.68 |
| 86140 |
|
35 |
27 |
$79.36 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
43 |
$73.80 |
| 85652 |
|
53 |
42 |
$73.20 |