| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,266 |
1,042 |
$94K |
| 99233 |
Prolong inpt eval add15 m |
1,286 |
320 |
$67K |
| 99223 |
Prolong inpt eval add15 m |
45 |
40 |
$4K |
| 83020 |
|
146 |
139 |
$2K |
| 80053 |
Comprehensive metabolic panel |
182 |
161 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
234 |
197 |
$1K |
| 85046 |
|
217 |
195 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$803.11 |
| 83021 |
|
21 |
13 |
$219.24 |
| 82248 |
|
135 |
120 |
$212.50 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
45 |
$32.80 |