| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,858 |
1,622 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
714 |
670 |
$34K |
| 80061 |
Lipid panel |
105 |
95 |
$1K |
| 80053 |
Comprehensive metabolic panel |
96 |
90 |
$982.61 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
128 |
124 |
$706.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
32 |
$415.87 |
| 99490 |
Ccm add 20min |
59 |
59 |
$141.70 |
| 90656 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
29 |
29 |
$0.00 |