| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,786 |
1,746 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
582 |
557 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
90 |
90 |
$76.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
20 |
$44.66 |
| 80053 |
Comprehensive metabolic panel |
19 |
19 |
$0.00 |