| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
249 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
117 |
$6K |
| 94760 |
|
538 |
357 |
$675.66 |
| 36415 |
Collection of venous blood by venipuncture |
108 |
98 |
$214.74 |
| 93000 |
|
12 |
12 |
$153.84 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
90 |
80 |
$145.72 |