| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,638 |
3,200 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,889 |
1,709 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
930 |
845 |
$4K |
| 99215 |
Prolong outpt/office vis |
132 |
115 |
$784.77 |
| 11721 |
|
715 |
706 |
$396.54 |
| 36415 |
Collection of venous blood by venipuncture |
216 |
169 |
$27.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
161 |
142 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
106 |
91 |
$0.00 |
| 82962 |
|
14 |
14 |
$0.00 |
| 11055 |
|
12 |
12 |
$0.00 |
| 11056 |
|
133 |
133 |
$0.00 |
| 90662 |
|
18 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
61 |
$0.00 |
| 99442 |
|
55 |
47 |
$0.00 |