| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,545 |
1,359 |
$82K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$591.88 |
| 90688 |
|
16 |
15 |
$262.56 |
| 80061 |
Lipid panel |
26 |
25 |
$159.44 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
31 |
$125.50 |
| 84439 |
|
13 |
12 |
$100.65 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$64.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |