| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,171 |
2,147 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
385 |
380 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
77 |
77 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
108 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
248 |
242 |
$201.70 |
| 80061 |
Lipid panel |
12 |
12 |
$158.28 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$156.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
14 |
14 |
$0.00 |