| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
149 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
75 |
68 |
$885.47 |
| 80053 |
Comprehensive metabolic panel |
26 |
13 |
$266.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
28 |
$163.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
12 |
$145.28 |
| 99307 |
|
15 |
15 |
$133.20 |
| 99305 |
|
15 |
12 |
$72.20 |