| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,006 |
1,726 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
378 |
319 |
$14K |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$126.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$64.92 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
18 |
$58.30 |