| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,008 |
965 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
777 |
722 |
$55K |
| 99443 |
|
12 |
12 |
$1K |
| 90686 |
|
25 |
25 |
$357.46 |
| 80061 |
Lipid panel |
25 |
25 |
$253.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$152.92 |
| 96127 |
|
17 |
17 |
$77.21 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$24.95 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$0.00 |