| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
820 |
796 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
448 |
429 |
$23K |
| 80050 |
General health panel |
15 |
15 |
$584.10 |
| 96127 |
|
49 |
49 |
$259.85 |
| 80061 |
Lipid panel |
15 |
15 |
$200.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$142.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$116.52 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$9.00 |