| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
130 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
28 |
$2K |
| 80061 |
Lipid panel |
34 |
34 |
$507.47 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
29 |
$292.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$257.73 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$118.13 |