| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,663 |
2,183 |
$83K |
| 99233 |
Prolong inpt eval add15 m |
214 |
96 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
141 |
13 |
$4K |
| 99215 |
Prolong outpt/office vis |
81 |
71 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
85 |
$2K |
| 80053 |
Comprehensive metabolic panel |
140 |
125 |
$956.88 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
64 |
27 |
$882.46 |
| 36415 |
Collection of venous blood by venipuncture |
460 |
391 |
$529.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
96 |
91 |
$522.05 |