| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,576 |
1,319 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
617 |
$54K |
| 90674 |
|
60 |
51 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
14 |
$883.32 |
| 90688 |
|
15 |
15 |
$199.10 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
86 |
$198.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
35 |
$167.60 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
14 |
$47.65 |
| 96127 |
|
13 |
12 |
$47.10 |
| 3008F |
|
14 |
12 |
$8.85 |
| 81002 |
|
19 |
13 |
$8.31 |