| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,129 |
990 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,715 |
1,231 |
$9K |
| 99215 |
Prolong outpt/office vis |
190 |
123 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
25 |
12 |
$928.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
38 |
$728.82 |