| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,920 |
1,637 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
242 |
$14K |
| 90686 |
|
145 |
132 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
18 |
14 |
$1K |
| 90656 |
|
44 |
33 |
$756.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$317.58 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
25 |
$1.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
14 |
$0.00 |