| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,831 |
1,575 |
$54K |
| 99490 |
Ccm add 20min |
2,232 |
2,038 |
$15K |
| 99491 |
Ccm add 20min |
72 |
71 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$706.56 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$358.28 |
| 99457 |
|
41 |
27 |
$247.78 |
| 93000 |
|
25 |
24 |
$232.22 |
| 90756 |
|
59 |
57 |
$20.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
146 |
143 |
$10.36 |
| G0008 |
Administration of influenza virus vaccine |
60 |
58 |
$0.00 |
| 3008F |
|
169 |
129 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
40 |
$0.00 |
| 3044F |
|
42 |
37 |
$0.00 |
| 82044 |
|
15 |
15 |
$0.00 |
| 1036F |
|
155 |
95 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 82570 |
|
14 |
14 |
$0.00 |
| 81003 |
|
35 |
30 |
$0.00 |