| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,164 |
1,039 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
201 |
$13K |
| 80053 |
Comprehensive metabolic panel |
68 |
62 |
$706.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
75 |
$477.12 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
25 |
$444.48 |
| 81000 |
|
30 |
25 |
$77.38 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$12.00 |