| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,288 |
1,232 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
123 |
$11K |
| 80050 |
General health panel |
75 |
75 |
$3K |
| 80061 |
Lipid panel |
150 |
150 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
184 |
184 |
$2K |
| 90686 |
|
56 |
56 |
$895.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
74 |
$759.24 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$680.80 |
| 96127 |
|
111 |
111 |
$573.15 |
| 86803 |
|
12 |
12 |
$156.97 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$21.51 |
| 96160 |
|
61 |
61 |
$12.04 |