| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,261 |
1,631 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
749 |
446 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
45 |
$7K |
| 93922 |
|
15 |
12 |
$541.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
148 |
104 |
$132.75 |
| 82728 |
|
35 |
24 |
$55.80 |
| 36415 |
Collection of venous blood by venipuncture |
156 |
110 |
$3.98 |