| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
540 |
$558.24 |
| 36415 |
Collection of venous blood by venipuncture |
1,427 |
1,214 |
$0.00 |
| 3074F |
|
30 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
251 |
250 |
$0.00 |
| 1111F |
|
29 |
28 |
$0.00 |
| 99443 |
|
14 |
13 |
$0.00 |
| 1220F |
|
110 |
110 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
40 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
67 |
64 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
426 |
288 |
$0.00 |
| 80061 |
Lipid panel |
134 |
134 |
$0.00 |
| 3078F |
|
141 |
133 |
$0.00 |
| 99442 |
|
30 |
30 |
$0.00 |