| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,461 |
3,619 |
$205K |
| 99199 |
Unlisted special service, procedure or report |
9,515 |
5,381 |
$65K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
368 |
308 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
163 |
142 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
72 |
$3K |
| 93922 |
|
75 |
47 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
413 |
354 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 90674 |
|
75 |
68 |
$715.04 |
| 95923 |
|
46 |
29 |
$714.64 |
| 95921 |
|
18 |
13 |
$346.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
16 |
$199.50 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
30 |
28 |
$0.00 |
| 3078F |
|
88 |
71 |
$0.00 |
| 3074F |
|
161 |
116 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$0.00 |
| 3075F |
|
49 |
36 |
$0.00 |
| 3079F |
|
59 |
47 |
$0.00 |