| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
223 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
112 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
99 |
91 |
$198.23 |
| 36415 |
Collection of venous blood by venipuncture |
308 |
281 |
$162.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$7.37 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |