| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,543 |
1,391 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
864 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
49 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
124 |
$1K |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$762.03 |
| 80305 |
|
17 |
15 |
$148.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$97.06 |
| 90686 |
|
13 |
13 |
$6.50 |
| 90674 |
|
12 |
12 |
$6.00 |