| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,312 |
1,258 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
668 |
638 |
$38K |
| 80061 |
Lipid panel |
208 |
207 |
$2K |
| 90686 |
|
105 |
105 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
70 |
$723.19 |
| 80050 |
General health panel |
12 |
12 |
$468.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38 |
37 |
$240.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$202.26 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$0.00 |
| 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) |
43 |
42 |
$0.00 |