| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
387 |
$10K |
| 99490 |
Ccm add 20min |
84 |
84 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,020 |
782 |
$838.80 |
| 99233 |
Prolong inpt eval add15 m |
80 |
64 |
$784.31 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$560.22 |
| 80053 |
Comprehensive metabolic panel |
72 |
66 |
$61.38 |
| 84100 |
|
41 |
38 |
$36.54 |
| 83615 |
|
27 |
25 |
$17.70 |
| 83735 |
|
14 |
13 |
$12.46 |
| 84550 |
|
14 |
13 |
$8.40 |
| 36415 |
Collection of venous blood by venipuncture |
452 |
345 |
$7.40 |