| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
795 |
441 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
308 |
$35K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,605 |
1,188 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
84 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
77 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
78 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
26 |
$1K |
| 90686 |
|
49 |
43 |
$340.80 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
39 |
$207.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
12 |
$150.05 |
| 96127 |
|
46 |
43 |
$123.39 |
| 36416 |
|
31 |
17 |
$46.78 |
| 1160F |
|
389 |
231 |
$0.00 |
| 1159F |
|
1,907 |
879 |
$0.00 |