| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
341 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
180 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
90 |
$2K |
| 90686 |
|
84 |
82 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$200.32 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
31 |
$78.89 |