| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
138 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
266 |
241 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
89 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
121 |
111 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
150 |
137 |
$3K |
| 80061 |
Lipid panel |
33 |
25 |
$1K |
| 84460 |
|
45 |
38 |
$863.66 |
| 84450 |
|
45 |
38 |
$851.66 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$835.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
26 |
$503.06 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
13 |
$434.64 |
| 90686 |
|
22 |
12 |
$10.86 |