| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,116 |
3,608 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,991 |
2,772 |
$173K |
| 93000 |
|
844 |
839 |
$8K |
| 94760 |
|
1,752 |
1,533 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
212 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
691 |
689 |
$3K |
| 81000 |
|
1,211 |
1,142 |
$3K |
| 90686 |
|
196 |
196 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$1K |
| 82044 |
|
375 |
375 |
$871.96 |
| 90662 |
|
87 |
87 |
$707.59 |
| 82948 |
|
190 |
190 |
$512.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$371.41 |
| G0008 |
Administration of influenza virus vaccine |
101 |
101 |
$257.54 |
| 99442 |
|
12 |
12 |
$249.72 |
| 82962 |
|
83 |
82 |
$13.12 |
| 81003 |
|
213 |
205 |
$6.99 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
32 |
$0.00 |