| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
332 |
285 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
124 |
$4K |
| 99215 |
Prolong outpt/office vis |
63 |
55 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
27 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
31 |
$1K |
| 80053 |
Comprehensive metabolic panel |
54 |
48 |
$407.55 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
122 |
$253.77 |
| 82550 |
|
15 |
13 |
$88.88 |
| 80051 |
|
16 |
14 |
$76.68 |
| 82565 |
|
18 |
16 |
$48.20 |
| 84520 |
|
18 |
16 |
$42.56 |
| 82947 |
|
18 |
16 |
$41.54 |