| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,377 |
1,109 |
$60K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,034 |
1,573 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
192 |
157 |
$13K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
177 |
102 |
$12K |
| 99215 |
Prolong outpt/office vis |
78 |
60 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
68 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
30 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,275 |
1,008 |
$960.04 |
| 99233 |
Prolong inpt eval add15 m |
28 |
12 |
$661.86 |