| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,383 |
4,826 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,567 |
2,357 |
$112K |
| 93000 |
|
520 |
408 |
$3K |
| 90688 |
|
270 |
245 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$64.89 |
| G0008 |
Administration of influenza virus vaccine |
124 |
120 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |