| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,079 |
1,899 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
151 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
19 |
19 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$3K |
| 80053 |
Comprehensive metabolic panel |
162 |
145 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
59 |
$397.51 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$4.10 |