| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
325 |
$11K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$794.53 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
142 |
110 |
$197.75 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$59.90 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
43 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
22 |
21 |
$0.00 |