| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
708 |
555 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
273 |
$27K |
| 99199 |
Unlisted special service, procedure or report |
6,057 |
5,246 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
297 |
218 |
$570.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$465.31 |
| 80061 |
Lipid panel |
33 |
24 |
$330.60 |
| 90686 |
|
12 |
12 |
$119.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$83.79 |
| 99000 |
|
37 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
12 |
$0.00 |