| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
808 |
749 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
309 |
$8K |
| 93000 |
|
13 |
13 |
$140.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
51 |
$129.18 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
97 |
$6.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
60 |
59 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |