| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
764 |
639 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
575 |
$26K |
| 80061 |
Lipid panel |
152 |
130 |
$2K |
| 85027 |
|
251 |
219 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
478 |
412 |
$1K |
| 80053 |
Comprehensive metabolic panel |
95 |
86 |
$938.93 |
| 84439 |
|
119 |
99 |
$933.58 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
85 |
70 |
$626.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
28 |
$571.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
32 |
$518.95 |
| 80050 |
General health panel |
27 |
22 |
$377.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
13 |
$374.16 |
| 87430 |
|
16 |
14 |
$200.94 |
| 83721 |
|
51 |
45 |
$185.66 |
| 3044F |
|
60 |
50 |
$0.00 |