| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,951 |
1,799 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
972 |
881 |
$34K |
| 80050 |
General health panel |
301 |
300 |
$14K |
| 80061 |
Lipid panel |
352 |
349 |
$5K |
| 80053 |
Comprehensive metabolic panel |
127 |
127 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
52 |
52 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
23 |
$956.93 |
| 84480 |
|
100 |
98 |
$818.40 |
| 81001 |
|
245 |
239 |
$798.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
124 |
124 |
$786.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
96 |
95 |
$669.90 |
| G0008 |
Administration of influenza virus vaccine |
47 |
47 |
$506.00 |
| 83540 |
|
24 |
24 |
$216.06 |
| 84436 |
|
21 |
20 |
$205.05 |
| 83550 |
|
12 |
12 |
$66.00 |
| 3079F |
|
29 |
29 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 3074F |
|
46 |
46 |
$0.00 |
| G9920 |
Screening performed and negative |
52 |
52 |
$0.00 |
| 3078F |
|
67 |
67 |
$0.00 |
| 90756 |
|
51 |
47 |
$0.00 |