| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,715 |
1,556 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
535 |
296 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
52 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$880.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
50 |
$206.41 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$58.42 |