| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
323 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
69 |
$809.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
85 |
$695.95 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
99 |
99 |
$368.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$264.00 |
| 80061 |
Lipid panel |
172 |
171 |
$182.72 |
| 80053 |
Comprehensive metabolic panel |
245 |
229 |
$173.35 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
200 |
199 |
$152.10 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
70 |
$107.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
217 |
200 |
$86.84 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
13 |
$78.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$53.04 |
| 81001 |
|
27 |
26 |
$8.22 |
| 82043 |
|
13 |
13 |
$5.03 |
| 82540 |
|
13 |
13 |
$4.08 |