| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,043 |
1,851 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,630 |
2,325 |
$112K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
410 |
377 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
157 |
153 |
$10K |
| T1015 |
Clinic visit/encounter, all-inclusive |
87 |
50 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
158 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
361 |
347 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
50 |
$2K |
| 0012A |
|
56 |
55 |
$2K |
| 87428 |
|
12 |
12 |
$763.08 |
| 81025 |
|
139 |
127 |
$641.04 |
| 0011A |
|
30 |
30 |
$588.80 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
45 |
$268.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$231.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$176.77 |
| 81002 |
|
65 |
65 |
$134.72 |
| 90674 |
|
27 |
25 |
$1.10 |