| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,947 |
1,832 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,052 |
1,022 |
$97K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
220 |
218 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
788 |
768 |
$9K |
| 92551 |
|
171 |
171 |
$8K |
| 81025 |
|
615 |
601 |
$5K |
| 81003 |
|
1,116 |
994 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
29 |
$2K |
| 99385 |
|
27 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$580.68 |
| H0049 |
Alcohol and/or drug screening |
43 |
43 |
$515.28 |
| 99173 |
|
24 |
24 |
$191.39 |
| 90651 |
|
12 |
12 |
$32.36 |