| Code | Description | Claims | Bene. Records | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,008 |
941 |
$43K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
711 |
660 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
830 |
703 |
$11K |
| 80061 |
Lipid panel |
249 |
230 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
261 |
237 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
58 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
86 |
83 |
$2K |
| 80053 |
Comprehensive metabolic panel |
55 |
53 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$623.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$409.37 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
72 |
69 |
$263.42 |