| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
218 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
50 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,020 |
847 |
$342.41 |
| 99223 |
Prolong inpt eval add15 m |
43 |
41 |
$288.24 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
83 |
55 |
$239.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
12 |
$19.81 |