| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,795 |
1,716 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
158 |
$3K |
| 90750 |
|
12 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
450 |
448 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
407 |
405 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
685 |
680 |
$2K |
| 80061 |
Lipid panel |
546 |
543 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
75 |
$1K |
| 82274 |
|
95 |
95 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
94 |
$767.54 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
69 |
69 |
$651.57 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
317 |
310 |
$561.26 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$405.35 |
| 36415 |
Collection of venous blood by venipuncture |
292 |
266 |
$325.96 |
| 87522 |
Neg quan hep c or qual rna |
38 |
38 |
$249.52 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
295 |
285 |
$208.80 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
98 |
98 |
$118.26 |
| 82043 |
|
104 |
103 |
$110.66 |
| 80076 |
|
102 |
100 |
$107.44 |
| 82540 |
|
104 |
103 |
$89.76 |
| 81001 |
|
45 |
43 |
$30.14 |
| 85027 |
|
13 |
13 |
$16.95 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$0.00 |
| 84460 |
|
14 |
14 |
$0.00 |