| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
804 |
626 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,403 |
917 |
$7K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
28 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
582 |
492 |
$810.63 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
16 |
$379.12 |