| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
772 |
765 |
$66K |
| 83970 |
|
415 |
413 |
$13K |
| 80069 |
|
1,641 |
1,616 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
95 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,150 |
1,133 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,621 |
1,590 |
$3K |
| 81003 |
|
1,399 |
1,379 |
$2K |
| 83735 |
|
198 |
195 |
$733.45 |
| 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) |
60 |
59 |
$444.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$340.59 |
| 84550 |
|
65 |
65 |
$200.34 |