| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
635 |
525 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
513 |
$23K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
72 |
72 |
$5K |
| 99215 |
Prolong outpt/office vis |
62 |
51 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
117 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$4K |
| 80061 |
Lipid panel |
50 |
50 |
$2K |
| 99406 |
|
95 |
69 |
$617.05 |
| 99347 |
|
12 |
12 |
$488.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$315.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$114.50 |