| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,048 |
981 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,363 |
1,239 |
$31K |
| 97802 |
|
232 |
229 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
188 |
181 |
$1K |
| 90686 |
|
53 |
53 |
$1K |
| 80061 |
Lipid panel |
57 |
56 |
$613.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50 |
50 |
$326.34 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$224.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$177.12 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$121.72 |
| 85018 |
|
13 |
13 |
$8.28 |
| 3008F |
|
230 |
227 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
12 |
12 |
$0.00 |