| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,922 |
2,596 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,248 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
1,907 |
1,478 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
25 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
253 |
195 |
$492.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
33 |
$484.75 |
| 0012A |
|
14 |
14 |
$440.00 |
| 0011A |
|
16 |
15 |
$237.16 |
| 90674 |
|
17 |
17 |
$209.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$79.73 |
| 99000 |
|
259 |
156 |
$0.00 |
| 90694 |
|
31 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
50 |
48 |
$0.00 |
| 99397 |
|
78 |
34 |
$0.00 |
| 90653 |
|
17 |
16 |
$0.00 |