| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
63 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$474.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
55 |
$5.04 |
| 84100 |
|
14 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
19 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
59 |
51 |
$0.00 |