| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,420 |
$166K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
365 |
258 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
25 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
365 |
258 |
$666.00 |