| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,315 |
1,074 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,261 |
1,566 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
64 |
28 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$674.75 |
| 36415 |
Collection of venous blood by venipuncture |
220 |
116 |
$191.76 |
| J1756 |
Injection, iron sucrose, 1 mg |
275 |
103 |
$0.00 |