| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,491 |
3,907 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
382 |
308 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
766 |
319 |
$23K |
| 90686 |
|
342 |
247 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
92 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
30 |
24 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
24 |
$846.48 |
| 80053 |
Comprehensive metabolic panel |
37 |
33 |
$372.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
27 |
$166.46 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
27 |
$131.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
13 |
$88.20 |