| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
475 |
426 |
$29K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$820.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$730.32 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$632.02 |
| 80061 |
Lipid panel |
64 |
64 |
$443.78 |
| 80053 |
Comprehensive metabolic panel |
25 |
25 |
$227.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$84.97 |