| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
655 |
603 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
613 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
383 |
303 |
$647.84 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
19 |
13 |
$382.49 |
| 36415 |
Collection of venous blood by venipuncture |
367 |
282 |
$109.64 |
| 80053 |
Comprehensive metabolic panel |
184 |
167 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$0.00 |