| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
152 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
211 |
$3K |
| 80061 |
Lipid panel |
104 |
104 |
$365.44 |
| 80053 |
Comprehensive metabolic panel |
113 |
110 |
$347.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
148 |
146 |
$329.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$225.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85 |
84 |
$133.60 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
15 |
$41.02 |
| 82043 |
|
12 |
12 |
$5.03 |
| 82540 |
|
12 |
12 |
$4.08 |