| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,712 |
1,479 |
$94K |
| 90686 |
|
67 |
39 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38 |
34 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
53 |
$479.91 |
| 80053 |
Comprehensive metabolic panel |
39 |
36 |
$368.41 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$72.44 |
| 80061 |
Lipid panel |
12 |
12 |
$69.95 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$38.70 |
| 81001 |
|
12 |
12 |
$29.08 |