| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,815 |
9,024 |
$200K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,731 |
4,912 |
$84K |
| 99215 |
Prolong outpt/office vis |
272 |
196 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,018 |
857 |
$1K |
| 90686 |
|
323 |
313 |
$707.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
170 |
$650.78 |
| 94760 |
|
15 |
14 |
$55.20 |
| 80053 |
Comprehensive metabolic panel |
30 |
29 |
$52.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
27 |
$30.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$28.93 |