| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,571 |
4,764 |
$505K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,387 |
1,199 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
87 |
$13K |
| 93922 |
|
77 |
76 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$4K |
| 90686 |
|
138 |
138 |
$3K |
| 99442 |
|
15 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
114 |
85 |
$819.36 |
| 90656 |
|
30 |
30 |
$606.97 |
| 93000 |
|
43 |
42 |
$437.33 |
| G0008 |
Administration of influenza virus vaccine |
174 |
174 |
$428.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$347.17 |
| Q3014 |
Telehealth originating site facility fee |
23 |
15 |
$53.81 |