| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
621 |
564 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
283 |
270 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
370 |
$22K |
| 80053 |
Comprehensive metabolic panel |
105 |
104 |
$4K |
| 80061 |
Lipid panel |
54 |
54 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$756.07 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
26 |
$580.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$478.23 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19 |
19 |
$192.16 |
| 1036F |
|
15 |
14 |
$0.02 |