| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,300 |
4,761 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,040 |
1,894 |
$86K |
| 90686 |
|
269 |
266 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,634 |
1,491 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
226 |
207 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$508.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$304.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$140.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
12 |
$53.50 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |