| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,423 |
1,246 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
406 |
371 |
$41K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
67 |
$9K |
| 80061 |
Lipid panel |
155 |
139 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
153 |
137 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
83 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
170 |
139 |
$971.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
25 |
24 |
$931.21 |
| 82565 |
|
12 |
12 |
$125.94 |
| 84520 |
|
12 |
12 |
$101.19 |
| 90686 |
|
33 |
15 |
$14.50 |