| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,093 |
918 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
187 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
980 |
818 |
$6K |
| 80061 |
Lipid panel |
238 |
217 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
72 |
$1K |
| 82947 |
|
238 |
209 |
$821.10 |
| 90658 |
|
51 |
50 |
$802.76 |
| 36415 |
Collection of venous blood by venipuncture |
999 |
858 |
$786.04 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
18 |
16 |
$88.00 |
| 3008F |
|
178 |
159 |
$0.00 |
| 1170F |
|
126 |
114 |
$0.00 |
| 1126F |
|
58 |
50 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 1160F |
|
175 |
155 |
$0.00 |
| 1158F |
|
133 |
116 |
$0.00 |
| 1159F |
|
176 |
156 |
$0.00 |