| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,854 |
1,104 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,374 |
1,729 |
$53K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
393 |
196 |
$3K |
| 80053 |
Comprehensive metabolic panel |
55 |
38 |
$617.61 |
| 36415 |
Collection of venous blood by venipuncture |
353 |
194 |
$588.07 |