| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$0.00 |
| 84439 |
|
142 |
142 |
$0.00 |
| 80061 |
Lipid panel |
174 |
173 |
$0.00 |
| 81003 |
|
14 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
154 |
153 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
179 |
176 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
173 |
$0.00 |
| 94760 |
|
26 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
221 |
217 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
163 |
162 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
186 |
183 |
$0.00 |