| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,632 |
3,200 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
120 |
$10K |
| 99215 |
Prolong outpt/office vis |
80 |
71 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87 |
58 |
$388.89 |
| 80053 |
Comprehensive metabolic panel |
17 |
15 |
$135.72 |
| 85652 |
|
59 |
40 |
$118.03 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
43 |
$45.10 |