| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
816 |
797 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
189 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
192 |
189 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
166 |
165 |
$1K |
| 84460 |
|
107 |
106 |
$509.86 |
| 86140 |
|
87 |
87 |
$406.27 |
| 84450 |
|
81 |
80 |
$374.00 |
| 82550 |
|
30 |
30 |
$182.28 |
| 83735 |
|
13 |
13 |
$80.40 |
| 85652 |
|
52 |
52 |
$61.78 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
97 |
$39.00 |