| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
530 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
39 |
$3K |
| 0011A |
|
21 |
19 |
$834.54 |
| 0012A |
|
17 |
16 |
$716.38 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$240.36 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$98.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$64.38 |