| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
456 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
438 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
262 |
262 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
79 |
$847.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
307 |
304 |
$371.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
62 |
61 |
$352.44 |
| 80053 |
Comprehensive metabolic panel |
180 |
178 |
$319.94 |
| 80061 |
Lipid panel |
143 |
142 |
$228.40 |
| 82274 |
|
16 |
16 |
$182.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
37 |
$118.26 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
147 |
135 |
$108.00 |
| 82043 |
|
106 |
105 |
$70.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
104 |
102 |
$66.80 |
| 82540 |
|
105 |
105 |
$57.12 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
38 |
$48.60 |