| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
546 |
482 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
540 |
480 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
572 |
506 |
$1K |
| 81000 |
|
144 |
124 |
$539.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$355.84 |
| 90688 |
|
19 |
17 |
$285.44 |
| 80053 |
Comprehensive metabolic panel |
23 |
16 |
$197.84 |
| 82565 |
|
24 |
19 |
$107.95 |