| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,331 |
3,843 |
$325K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
941 |
907 |
$55K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
250 |
246 |
$15K |
| 80305 |
|
750 |
584 |
$8K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
60 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
151 |
150 |
$1K |
| 90686 |
|
35 |
34 |
$593.99 |
| 0001A |
|
18 |
18 |
$304.92 |
| 91300 |
|
18 |
18 |
$0.11 |
| 3078F |
|
144 |
137 |
$0.00 |
| 3074F |
|
227 |
216 |
$0.00 |