| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,091 |
966 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
194 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108 |
97 |
$255.34 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$13.66 |
| 80053 |
Comprehensive metabolic panel |
55 |
48 |
$0.00 |