| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,016 |
889 |
$59K |
| T1015 |
Clinic visit/encounter, all-inclusive |
29 |
26 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
44 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
57 |
$486.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
65 |
63 |
$372.08 |
| 86703 |
|
12 |
12 |
$118.94 |
| 82962 |
|
30 |
30 |
$47.04 |