| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,928 |
1,437 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,107 |
754 |
$41K |
| 99199 |
Unlisted special service, procedure or report |
7,640 |
7,536 |
$28K |
| 80061 |
Lipid panel |
679 |
517 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,372 |
1,056 |
$1K |
| 99497 |
|
14 |
14 |
$598.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$186.20 |
| 96127 |
|
53 |
38 |
$163.42 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23 |
12 |
$65.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$59.85 |
| 81003 |
|
28 |
15 |
$24.93 |
| 3008F |
|
191 |
118 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 90686 |
|
49 |
44 |
$0.00 |
| 90756 |
|
23 |
23 |
$0.00 |