| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
877 |
668 |
$23K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
892 |
638 |
$4K |
| 80053 |
Comprehensive metabolic panel |
612 |
437 |
$4K |
| 83615 |
|
775 |
563 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
64 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
84 |
49 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
14 |
$206.49 |
| 82728 |
|
13 |
12 |
$70.32 |
| 83550 |
|
13 |
12 |
$43.14 |
| 36415 |
Collection of venous blood by venipuncture |
472 |
358 |
$34.80 |
| 83540 |
|
13 |
12 |
$30.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
13 |
$13.24 |