| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,004 |
1,390 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
91 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
518 |
408 |
$2K |
| 86140 |
|
474 |
366 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
714 |
562 |
$808.29 |
| 80076 |
|
200 |
156 |
$774.76 |
| 82565 |
|
257 |
192 |
$600.55 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
242 |
183 |
$481.53 |
| 85652 |
|
359 |
278 |
$478.28 |
| 80053 |
Comprehensive metabolic panel |
111 |
91 |
$460.51 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
45 |
40 |
$423.86 |