| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
452 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
123 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
929 |
563 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
374 |
219 |
$800.84 |
| J7050 |
Infusion, normal saline solution, 250 cc |
34 |
12 |
$280.98 |