| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,840 |
2,378 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,201 |
1,051 |
$42K |
| 99199 |
Unlisted special service, procedure or report |
4,238 |
4,048 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
463 |
329 |
$373.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$307.05 |
| 80061 |
Lipid panel |
30 |
18 |
$157.52 |
| 80053 |
Comprehensive metabolic panel |
46 |
31 |
$137.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
16 |
$91.50 |
| G0008 |
Administration of influenza virus vaccine |
19 |
14 |
$7.85 |
| 90686 |
|
12 |
12 |
$0.00 |