| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
550 |
526 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
210 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
219 |
216 |
$7K |
| 90686 |
|
65 |
65 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 80061 |
Lipid panel |
47 |
47 |
$859.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$522.60 |
| 86803 |
|
17 |
17 |
$334.05 |