| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
61 |
$56.72 |
| 1220F |
|
90 |
87 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
352 |
297 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
94 |
94 |
$0.00 |
| 4450F |
|
45 |
45 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
119 |
103 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
73 |
61 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
27 |
26 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
284 |
127 |
$0.00 |
| 80061 |
Lipid panel |
40 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
68 |
$0.00 |