| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
277 |
142 |
$26.24 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
24 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
41 |
$0.00 |