| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
979 |
804 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
710 |
$13K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
141 |
140 |
$1K |
| 96151 |
|
24 |
24 |
$541.68 |
| 36415 |
Collection of venous blood by venipuncture |
239 |
236 |
$387.57 |
| 96156 |
|
61 |
61 |
$383.05 |
| 80061 |
Lipid panel |
15 |
15 |
$322.46 |
| 80053 |
Comprehensive metabolic panel |
24 |
24 |
$301.42 |
| 86765 |
|
12 |
12 |
$195.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$141.39 |
| 3078F |
|
387 |
323 |
$0.00 |
| 1159F |
|
148 |
138 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
49 |
46 |
$0.00 |
| 1160F |
|
149 |
134 |
$0.00 |
| 3074F |
|
295 |
247 |
$0.00 |
| 3008F |
|
521 |
423 |
$0.00 |
| 2000F |
|
1,030 |
875 |
$0.00 |
| 2010F |
|
520 |
424 |
$0.00 |
| 1126F |
|
925 |
799 |
$0.00 |
| 3044F |
|
54 |
52 |
$0.00 |