| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,979 |
3,384 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
86 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
864 |
769 |
$3K |
| 94681 |
|
116 |
111 |
$2K |
| 90756 |
|
112 |
103 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,654 |
1,474 |
$1K |
| 94060 |
|
52 |
51 |
$1K |
| 94375 |
|
59 |
59 |
$1K |
| 87428 |
|
22 |
19 |
$804.76 |
| 94200 |
|
62 |
61 |
$722.87 |
| 94726 |
|
48 |
47 |
$681.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
41 |
$565.58 |
| 90674 |
|
15 |
15 |
$120.25 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
50 |
33 |
$0.00 |