| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
569 |
530 |
$36.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,673 |
1,606 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
94 |
$0.00 |
| 90686 |
|
67 |
67 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 3077F |
|
15 |
15 |
$0.00 |