| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
683 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
278 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$3K |
| 80050 |
General health panel |
12 |
12 |
$468.00 |
| 80061 |
Lipid panel |
15 |
15 |
$191.48 |
| 96127 |
|
32 |
32 |
$170.61 |
| 90686 |
|
18 |
13 |
$161.66 |
| 86803 |
|
12 |
12 |
$159.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$129.14 |
| 81003 |
|
13 |
13 |
$29.69 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$9.00 |