| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,468 |
1,987 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,077 |
960 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
164 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
405 |
377 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 90686 |
|
94 |
94 |
$179.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$83.68 |
| 80061 |
Lipid panel |
13 |
13 |
$46.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
64 |
$31.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
13 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |