| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
700 |
643 |
$40K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
63 |
58 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
159 |
149 |
$974.04 |
| 82948 |
|
120 |
112 |
$269.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
16 |
$265.99 |
| 80053 |
Comprehensive metabolic panel |
15 |
13 |
$192.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$145.00 |
| 94760 |
|
61 |
55 |
$128.01 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
13 |
$32.42 |