| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
359 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
537 |
531 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$1K |
| 90686 |
|
28 |
28 |
$880.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
52 |
52 |
$643.80 |
| 80061 |
Lipid panel |
28 |
28 |
$516.32 |