| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
235 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
163 |
$11K |
| 99215 |
Prolong outpt/office vis |
44 |
36 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
19 |
18 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$127.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$38.04 |