| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,046 |
2,617 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,717 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
174 |
170 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
46 |
$4K |
| 96127 |
|
231 |
202 |
$4K |
| 90686 |
|
175 |
110 |
$3K |
| 90674 |
|
55 |
27 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
217 |
200 |
$1K |
| 82962 |
|
90 |
80 |
$190.83 |
| 99072 |
|
23 |
19 |
$0.00 |