| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87536 |
|
210 |
207 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
236 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
100 |
$12K |
| 80053 |
Comprehensive metabolic panel |
172 |
148 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$988.47 |
| 80061 |
Lipid panel |
13 |
12 |
$325.62 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$109.19 |