| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,324 |
9,152 |
$407K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,273 |
1,919 |
$108K |
| 80061 |
Lipid panel |
613 |
537 |
$6K |
| 81003 |
|
2,333 |
2,024 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
379 |
346 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,611 |
2,201 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
41 |
$2K |
| 86580 |
|
152 |
142 |
$746.77 |
| 87070 |
|
83 |
80 |
$687.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$120.00 |
| 83718 |
|
78 |
76 |
$7.97 |
| 84478 |
|
79 |
76 |
$5.59 |
| 82465 |
|
77 |
75 |
$4.23 |