| Code | Description | Claims | Beneficiaries | Total Paid |
| H0033 |
Oral medication administration, direct observation |
1,383 |
615 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,759 |
4,063 |
$124K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
178 |
71 |
$35K |
| 80305 |
|
3,346 |
2,101 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
267 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$728.16 |
| 90756 |
|
41 |
40 |
$393.44 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$384.15 |
| 90674 |
|
14 |
14 |
$285.34 |
| 99408 |
|
18 |
14 |
$198.40 |
| 36415 |
Collection of venous blood by venipuncture |
134 |
122 |
$180.90 |
| 99401 |
|
27 |
27 |
$163.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
53 |
$93.90 |
| 36416 |
|
44 |
42 |
$87.10 |
| 82947 |
|
15 |
15 |
$29.30 |
| 96127 |
|
16 |
12 |
$27.72 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
31 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$0.00 |