| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
587 |
558 |
$28K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
164 |
159 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
149 |
138 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$772.04 |
| 83516 |
|
29 |
28 |
$573.00 |
| 85652 |
|
147 |
137 |
$566.19 |
| 36415 |
Collection of venous blood by venipuncture |
189 |
177 |
$362.30 |
| 86003 |
|
29 |
28 |
$266.70 |
| 82785 |
|
32 |
31 |
$242.64 |