| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
36 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
31 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
12 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
647 |
514 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$119.73 |