| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
225 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
211 |
205 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$1K |
| 80061 |
Lipid panel |
39 |
39 |
$650.04 |
| 90686 |
|
12 |
12 |
$390.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$293.28 |