| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,328 |
1,179 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
235 |
$11K |
| 90686 |
|
40 |
36 |
$836.31 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
16 |
$411.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
29 |
13 |
$348.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$163.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$88.95 |
| 3078F |
|
341 |
324 |
$0.00 |
| 3008F |
|
651 |
616 |
$0.00 |
| 3079F |
|
92 |
88 |
$0.00 |
| 3074F |
|
542 |
516 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |