| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
453 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
514 |
438 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
50 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| 90688 |
|
42 |
42 |
$775.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
45 |
$554.12 |
| 80061 |
Lipid panel |
127 |
125 |
$276.28 |
| 80053 |
Comprehensive metabolic panel |
123 |
121 |
$132.95 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
128 |
$88.23 |
| 82570 |
|
49 |
47 |
$28.16 |
| 3078F |
|
79 |
64 |
$0.21 |
| 3074F |
|
70 |
60 |
$0.18 |
| 3044F |
|
48 |
47 |
$0.02 |
| 3008F |
|
83 |
71 |
$0.00 |
| 2000F |
|
411 |
331 |
$0.00 |
| 97802 |
|
89 |
86 |
$0.00 |