| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,665 |
1,567 |
$98K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
47 |
$4K |
| 99497 |
|
55 |
51 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
81 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
206 |
205 |
$927.93 |
| 90756 |
|
25 |
25 |
$484.88 |
| 99401 |
|
19 |
19 |
$459.54 |
| 81000 |
|
137 |
137 |
$430.78 |
| 36415 |
Collection of venous blood by venipuncture |
1,024 |
1,011 |
$220.99 |
| 93000 |
|
15 |
15 |
$217.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$162.15 |