| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,094 |
7,524 |
$335K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,358 |
5,263 |
$178K |
| 90674 |
|
1,232 |
1,013 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,040 |
2,354 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
862 |
754 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$808.34 |
| 90756 |
|
56 |
49 |
$664.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
18 |
$393.90 |
| 82570 |
|
172 |
126 |
$385.66 |
| 82044 |
|
172 |
126 |
$232.54 |
| 90661 |
|
39 |
25 |
$110.60 |
| 81002 |
|
28 |
25 |
$53.34 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
43 |
$17.20 |
| 90653 |
|
19 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
463 |
330 |
$0.00 |
| 90694 |
|
33 |
19 |
$0.00 |