| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
91 |
73 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
114 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
588 |
420 |
$422.93 |
| 99490 |
Ccm add 20min |
14 |
14 |
$97.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$42.38 |
| 36415 |
Collection of venous blood by venipuncture |
172 |
114 |
$6.51 |
| 80053 |
Comprehensive metabolic panel |
30 |
25 |
$0.00 |