| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
595 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
484 |
440 |
$18K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
364 |
357 |
$4K |
| 80053 |
Comprehensive metabolic panel |
108 |
108 |
$1K |
| 80061 |
Lipid panel |
95 |
95 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
158 |
158 |
$990.00 |
| 82310 |
|
15 |
15 |
$101.66 |
| 82374 |
|
15 |
15 |
$96.07 |
| 84295 |
|
15 |
15 |
$92.95 |
| 82565 |
|
15 |
15 |
$91.65 |
| 84132 |
|
15 |
15 |
$90.61 |
| 84520 |
|
15 |
15 |
$77.74 |
| 82947 |
|
15 |
15 |
$57.20 |
| 3078F |
|
905 |
827 |
$0.00 |
| 1003F |
|
75 |
75 |
$0.00 |
| 3008F |
|
1,184 |
1,085 |
$0.00 |