| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
58 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
34 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
144 |
72 |
$2K |
| 80053 |
Comprehensive metabolic panel |
25 |
14 |
$256.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
13 |
$112.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
14 |
$107.71 |