| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,555 |
1,431 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
445 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
59 |
$2K |
| 93000 |
|
120 |
117 |
$1K |
| 99490 |
Ccm add 20min |
48 |
48 |
$624.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$306.75 |
| 90688 |
|
13 |
13 |
$214.08 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
51 |
50 |
$138.65 |
| ATP03 |
|
13 |
13 |
$34.25 |
| 80061 |
Lipid panel |
26 |
26 |
$12.21 |