| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
521 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
263 |
$17K |
| 80061 |
Lipid panel |
80 |
75 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
104 |
76 |
$912.31 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$759.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
77 |
$701.10 |
| 80050 |
General health panel |
12 |
12 |
$502.54 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
45 |
$309.29 |
| 90674 |
|
12 |
12 |
$4.00 |