| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,877 |
4,267 |
$322K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,889 |
1,655 |
$79K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
272 |
246 |
$22K |
| 90686 |
|
371 |
256 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
272 |
241 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$585.75 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
52 |
$0.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
308 |
206 |
$0.00 |