| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
803 |
717 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
767 |
628 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
242 |
234 |
$6.75 |
| 90662 |
|
30 |
30 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
236 |
223 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
81 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |