| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,433 |
5,193 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,301 |
3,222 |
$160K |
| 90686 |
|
615 |
614 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
124 |
124 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
79 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
912 |
877 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
104 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
82 |
$2K |
| 97803 |
|
17 |
17 |
$574.42 |
| 81003 |
|
336 |
332 |
$534.06 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
22 |
22 |
$404.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$225.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$185.76 |
| 82947 |
|
16 |
16 |
$42.24 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
44 |
$0.00 |
| 3078F |
|
172 |
170 |
$0.00 |
| 3074F |
|
75 |
74 |
$0.00 |