| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,648 |
3,630 |
$3.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,510 |
4,173 |
$1.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,752 |
1,695 |
$664K |
| T1015 |
Clinic visit/encounter, all-inclusive |
291 |
254 |
$199K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
38 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
1,435 |
1,390 |
$439.78 |
| 82947 |
|
80 |
79 |
$154.80 |
| 90686 |
|
137 |
136 |
$104.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
161 |
$84.07 |
| 82465 |
|
453 |
453 |
$82.93 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$44.08 |
| 81003 |
|
39 |
39 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |