| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
995 |
863 |
$65K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
67 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
64 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
37 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
197 |
195 |
$1K |
| 93000 |
|
65 |
62 |
$872.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$695.65 |
| 93922 |
|
12 |
12 |
$560.79 |
| 81002 |
|
231 |
221 |
$524.93 |