| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
878 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
578 |
517 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
376 |
$8K |
| 99215 |
Prolong outpt/office vis |
63 |
62 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
259 |
$1K |
| 82274 |
|
103 |
103 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
401 |
399 |
$836.55 |
| 80061 |
Lipid panel |
216 |
216 |
$548.16 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
95 |
95 |
$323.77 |
| 84443 |
Thyroid stimulating hormone (TSH) |
60 |
60 |
$160.71 |
| 80053 |
Comprehensive metabolic panel |
140 |
140 |
$155.15 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$118.26 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
83 |
82 |
$108.00 |
| 82043 |
|
92 |
92 |
$80.48 |
| 85027 |
|
55 |
55 |
$67.80 |
| 82540 |
|
92 |
92 |
$65.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$26.72 |
| 84439 |
|
13 |
13 |
$23.49 |
| 84460 |
|
12 |
12 |
$13.59 |