| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,588 |
1,569 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
539 |
475 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
98 |
$868.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
63 |
$665.16 |
| 80061 |
Lipid panel |
52 |
52 |
$602.55 |
| 90686 |
|
44 |
44 |
$516.81 |
| 96127 |
|
89 |
89 |
$427.38 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
76 |
$23.07 |
| 96160 |
|
24 |
24 |
$4.25 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$0.00 |