| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
348 |
$24.00 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
163 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
76 |
74 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
46 |
44 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
100 |
97 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
32 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
43 |
42 |
$0.00 |
| 82043 |
|
29 |
29 |
$0.00 |
| 83721 |
|
39 |
39 |
$0.00 |
| 80061 |
Lipid panel |
91 |
90 |
$0.00 |
| 84550 |
|
28 |
28 |
$0.00 |
| 99201 |
|
12 |
12 |
$0.00 |
| 81003 |
|
16 |
16 |
$0.00 |