| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,014 |
855 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
540 |
442 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
112 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
107 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99442 |
|
15 |
15 |
$434.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
31 |
$408.11 |
| 80061 |
Lipid panel |
12 |
12 |
$334.84 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
25 |
$205.46 |