| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,992 |
2,701 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
997 |
952 |
$29K |
| 97802 |
|
670 |
657 |
$5K |
| 90686 |
|
177 |
177 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
209 |
207 |
$540.36 |
| 80053 |
Comprehensive metabolic panel |
66 |
64 |
$307.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$264.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
117 |
109 |
$250.44 |
| 80061 |
Lipid panel |
38 |
37 |
$226.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
25 |
$145.27 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$71.50 |
| 3008F |
|
531 |
519 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
25 |
25 |
$0.00 |