| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
297 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
53 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
391 |
279 |
$638.36 |
| 80061 |
Lipid panel |
18 |
14 |
$554.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$430.26 |
| 93000 |
|
24 |
24 |
$302.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$156.00 |
| 99000 |
|
13 |
12 |
$38.35 |