| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,264 |
1,004 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
915 |
794 |
$49K |
| T1015 |
Clinic visit/encounter, all-inclusive |
25 |
17 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
121 |
$1K |
| 80061 |
Lipid panel |
29 |
26 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$766.64 |
| 99406 |
|
12 |
12 |
$115.70 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$74.10 |