| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,364 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
402 |
$21K |
| 80061 |
Lipid panel |
140 |
136 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
44 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
40 |
$964.04 |
| 0012A |
|
13 |
13 |
$489.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
79 |
77 |
$483.00 |
| 84439 |
|
37 |
37 |
$317.70 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$187.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$112.31 |
| 99490 |
Ccm add 20min |
38 |
38 |
$28.34 |
| G9920 |
Screening performed and negative |
50 |
50 |
$0.00 |
| 91301 |
|
22 |
22 |
$0.00 |