| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,201 |
1,053 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
72 |
$4K |
| 80050 |
General health panel |
40 |
38 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
26 |
$2K |
| 80061 |
Lipid panel |
45 |
42 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
63 |
60 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 82248 |
|
74 |
72 |
$901.31 |
| 84439 |
|
30 |
27 |
$649.60 |
| 82607 |
|
16 |
13 |
$599.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$178.92 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$127.20 |