| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,540 |
11,067 |
$684K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,533 |
2,363 |
$102K |
| 36415 |
Collection of venous blood by venipuncture |
705 |
682 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
528 |
515 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
374 |
367 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 90686 |
|
299 |
287 |
$1K |
| 91320 |
|
14 |
14 |
$917.70 |
| 96127 |
|
13 |
13 |
$715.81 |
| 90656 |
|
47 |
46 |
$651.46 |
| 90480 |
|
29 |
29 |
$480.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
681 |
648 |
$342.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
43 |
$340.69 |
| 81003 |
|
159 |
137 |
$302.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$236.56 |
| 90715 |
|
13 |
13 |
$189.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
51 |
$96.97 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |