| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,130 |
2,803 |
$227K |
| 80053 |
Comprehensive metabolic panel |
1,478 |
1,319 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,472 |
1,311 |
$6K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
56 |
51 |
$6K |
| 86140 |
|
1,475 |
1,313 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,572 |
1,401 |
$2K |
| 85652 |
|
1,479 |
1,318 |
$2K |
| 86160 |
|
87 |
84 |
$1K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
46 |
40 |
$1K |
| 86235 |
|
14 |
14 |
$710.87 |
| 86038 |
|
64 |
62 |
$502.02 |
| 86225 |
|
14 |
14 |
$115.58 |
| 86376 |
|
14 |
14 |
$115.44 |