| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,560 |
2,309 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,109 |
1,954 |
$121K |
| 99454 |
|
711 |
654 |
$25K |
| 99457 |
|
699 |
642 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
259 |
256 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$10K |
| 80061 |
Lipid panel |
185 |
175 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
682 |
641 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
107 |
100 |
$983.21 |
| 99453 |
|
76 |
73 |
$903.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
27 |
$868.05 |
| 90686 |
|
59 |
49 |
$279.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
15 |
$163.50 |
| 96127 |
|
30 |
30 |
$125.38 |
| 81002 |
|
27 |
25 |
$78.25 |
| 99000 |
|
63 |
62 |
$0.00 |