| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,632 |
1,584 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
867 |
833 |
$42K |
| 97811 |
|
845 |
574 |
$13K |
| 97810 |
|
845 |
574 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
69 |
26 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
102 |
95 |
$860.75 |
| 90686 |
|
36 |
36 |
$736.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$415.97 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$255.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
607 |
396 |
$46.70 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| 3074F |
|
41 |
40 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| 3078F |
|
108 |
102 |
$0.00 |