| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
188 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
117 |
$10K |
| 80061 |
Lipid panel |
45 |
45 |
$782.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$370.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
30 |
$370.38 |