| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,539 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
210 |
64 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
847 |
587 |
$4K |
| 80053 |
Comprehensive metabolic panel |
378 |
313 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
30 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
77 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$499.56 |
| 83615 |
|
46 |
43 |
$241.63 |