| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
294 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$3K |
| 80050 |
General health panel |
151 |
150 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
594 |
571 |
$1K |
| 84439 |
|
184 |
179 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$546.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
66 |
$346.49 |
| 80053 |
Comprehensive metabolic panel |
50 |
50 |
$311.72 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$213.92 |