| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,776 |
8,925 |
$320K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,974 |
3,747 |
$168K |
| 36415 |
Collection of venous blood by venipuncture |
4,364 |
4,062 |
$9K |
| 80053 |
Comprehensive metabolic panel |
544 |
516 |
$5K |
| 80061 |
Lipid panel |
450 |
432 |
$4K |
| 90686 |
|
278 |
273 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
528 |
510 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
43 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
537 |
513 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
367 |
345 |
$3K |
| 85027 |
|
447 |
427 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
59 |
$2K |
| 0002A |
|
29 |
29 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
31 |
$1K |
| 0001A |
|
17 |
17 |
$688.00 |
| 96127 |
|
56 |
52 |
$574.33 |
| 90651 |
|
16 |
13 |
$143.26 |
| 81003 |
|
18 |
18 |
$41.82 |
| 91300 |
|
55 |
47 |
$0.00 |