| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
952 |
926 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
215 |
212 |
$950.30 |
| 80061 |
Lipid panel |
303 |
302 |
$845.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
463 |
462 |
$828.10 |
| 82274 |
|
64 |
64 |
$728.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$452.34 |
| 80053 |
Comprehensive metabolic panel |
298 |
291 |
$401.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$367.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
258 |
251 |
$187.04 |
| 82043 |
|
144 |
144 |
$171.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
143 |
143 |
$165.59 |
| 82540 |
|
144 |
144 |
$138.72 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$123.06 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$118.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$58.44 |