| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
880 |
821 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338 |
321 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
100 |
95 |
$904.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$727.82 |
| 81025 |
|
116 |
111 |
$683.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$676.00 |
| 90686 |
|
50 |
49 |
$484.80 |
| 81003 |
|
140 |
124 |
$252.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$165.22 |
| 82962 |
|
24 |
24 |
$43.82 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
361 |
341 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
871 |
797 |
$0.00 |