| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,685 |
2,331 |
$160K |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$229.88 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$147.72 |
| 80061 |
Lipid panel |
14 |
14 |
$85.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$80.36 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$61.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$56.70 |