| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
523 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
132 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
382 |
316 |
$181.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
16 |
$59.93 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
14 |
$18.12 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
19 |
19 |
$0.00 |
| 3288F |
|
21 |
16 |
$0.00 |
| 1170F |
|
21 |
16 |
$0.00 |
| 99000 |
|
16 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
14 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
236 |
198 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
17 |
14 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
31 |
25 |
$0.00 |