| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
357 |
$56.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
198 |
185 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
521 |
505 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
871 |
786 |
$0.00 |
| 99441 |
|
99 |
98 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
510 |
506 |
$0.00 |
| 82043 |
|
54 |
54 |
$0.00 |
| 99443 |
|
44 |
42 |
$0.00 |
| 1220F |
|
67 |
67 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
35 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 4450F |
|
15 |
15 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
527 |
432 |
$0.00 |
| 99442 |
|
234 |
223 |
$0.00 |
| 82540 |
|
54 |
54 |
$0.00 |
| 80061 |
Lipid panel |
426 |
424 |
$0.00 |
| 86703 |
|
26 |
26 |
$0.00 |