| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,688 |
1,176 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
433 |
344 |
$21K |
| Q3014 |
Telehealth originating site facility fee |
626 |
446 |
$6K |
| 82962 |
|
640 |
415 |
$706.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
162 |
83 |
$620.00 |
| 99443 |
|
94 |
53 |
$169.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
42 |
30 |
$168.00 |
| 81002 |
|
75 |
49 |
$90.00 |
| 82044 |
|
64 |
44 |
$80.41 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
82 |
$78.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
12 |
$18.03 |
| 1125F |
|
29 |
25 |
$0.00 |
| 1160F |
|
15 |
12 |
$0.00 |