| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,168 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135 |
107 |
$3K |
| 99490 |
Ccm add 20min |
419 |
351 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
817 |
571 |
$172.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
12 |
$41.75 |
| 80061 |
Lipid panel |
140 |
96 |
$13.39 |
| 81002 |
|
47 |
14 |
$3.13 |
| G0008 |
Administration of influenza virus vaccine |
19 |
12 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
22 |
19 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$0.00 |