| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,298 |
1,281 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
31 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
75 |
75 |
$1K |
| 80061 |
Lipid panel |
29 |
29 |
$361.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$233.04 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$137.28 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$70.32 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
89 |
88 |
$0.00 |