| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,187 |
2,142 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
62 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
97 |
96 |
$2K |
| 80061 |
Lipid panel |
29 |
29 |
$362.87 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$355.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$253.43 |
| 82962 |
|
15 |
14 |
$26.24 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
81 |
$6.00 |
| 36416 |
|
15 |
14 |
$0.00 |
| 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) |
144 |
143 |
$0.00 |