| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,347 |
1,308 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
577 |
546 |
$40K |
| 80061 |
Lipid panel |
258 |
258 |
$3K |
| 80050 |
General health panel |
52 |
52 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
203 |
203 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$103.32 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
55 |
$89.28 |
| 82570 |
|
12 |
12 |
$57.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$43.86 |
| 96127 |
|
12 |
12 |
$42.68 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$32.88 |
| 81003 |
|
12 |
12 |
$26.77 |