| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
907 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
425 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
118 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
57 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
29 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98 |
73 |
$464.92 |
| 81025 |
|
41 |
40 |
$237.28 |
| 81002 |
|
100 |
87 |
$175.21 |
| 82962 |
|
15 |
12 |
$27.00 |
| 36416 |
|
136 |
84 |
$4.55 |
| 1159F |
|
489 |
266 |
$0.00 |
| 3077F |
|
124 |
71 |
$0.00 |
| 1160F |
|
480 |
263 |
$0.00 |
| 1158F |
|
482 |
264 |
$0.00 |
| 3078F |
|
217 |
122 |
$0.00 |
| 1126F |
|
402 |
220 |
$0.00 |
| 1034F |
|
57 |
29 |
$0.00 |
| 3074F |
|
247 |
134 |
$0.00 |
| 3008F |
|
430 |
238 |
$0.00 |
| 1125F |
|
59 |
31 |
$0.00 |
| 3079F |
|
104 |
54 |
$0.00 |
| 1111F |
|
33 |
18 |
$0.00 |
| 1036F |
|
384 |
210 |
$0.00 |
| 3075F |
|
48 |
22 |
$0.00 |
| 3080F |
|
106 |
59 |
$0.00 |