| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
197 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
163 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$451.09 |
| 90686 |
|
25 |
25 |
$431.31 |
| 80061 |
Lipid panel |
13 |
13 |
$174.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$116.52 |