| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,009 |
1,724 |
$94K |
| 80061 |
Lipid panel |
108 |
105 |
$4K |
| 80053 |
Comprehensive metabolic panel |
104 |
102 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$948.65 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$904.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$885.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
88 |
$725.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$378.96 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
25 |
$366.63 |