| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
609 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
480 |
437 |
$33K |
| 87428 |
|
16 |
16 |
$989.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
105 |
$897.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$713.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$78.86 |
| 82962 |
|
32 |
27 |
$57.66 |