| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,175 |
1,923 |
$126K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
925 |
$38K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
119 |
$7K |
| 90686 |
|
260 |
200 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$1K |
| 90656 |
|
25 |
18 |
$483.39 |
| 36415 |
Collection of venous blood by venipuncture |
467 |
419 |
$96.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$60.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
60 |
$0.00 |