| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,067 |
1,435 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,465 |
1,008 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
48 |
$707.74 |
| 90756 |
|
45 |
44 |
$615.67 |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$499.11 |
| 83700 |
|
59 |
59 |
$266.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
60 |
60 |
$225.63 |
| 93000 |
|
14 |
13 |
$141.83 |
| 99000 |
|
75 |
75 |
$117.50 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
72 |
$112.14 |
| 1159F |
|
1,662 |
1,036 |
$5.00 |
| 3008F |
|
321 |
245 |
$0.00 |
| 3074F |
|
17 |
15 |
$0.00 |