| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,170 |
1,085 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
85 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
41 |
$624.02 |
| 90686 |
|
48 |
47 |
$501.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
41 |
$353.38 |
| 82962 |
|
27 |
27 |
$39.68 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
405 |
385 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
836 |
769 |
$0.00 |