| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,303 |
1,092 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
31 |
$2K |
| 99490 |
Ccm add 20min |
116 |
116 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
722 |
596 |
$932.85 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
33 |
25 |
$461.94 |
| 80053 |
Comprehensive metabolic panel |
147 |
130 |
$308.54 |
| 82728 |
|
69 |
68 |
$241.38 |
| 83735 |
|
100 |
86 |
$184.30 |
| 83550 |
|
54 |
53 |
$154.68 |
| 83615 |
|
96 |
83 |
$154.64 |
| 82607 |
|
13 |
13 |
$150.80 |
| 82746 |
|
13 |
13 |
$147.10 |
| 99233 |
Prolong inpt eval add15 m |
30 |
26 |
$132.36 |
| 84100 |
|
106 |
91 |
$130.08 |
| 84550 |
|
99 |
85 |
$124.26 |
| 83540 |
|
66 |
65 |
$108.07 |
| 36415 |
Collection of venous blood by venipuncture |
237 |
200 |
$5.85 |