| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,123 |
2,915 |
$129K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
462 |
440 |
$24K |
| 90686 |
|
396 |
384 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
449 |
438 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
206 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$691.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
55 |
51 |
$492.63 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
70 |
$150.95 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$143.32 |
| 81003 |
|
13 |
13 |
$24.35 |
| 36416 |
|
12 |
12 |
$1.52 |
| G0008 |
Administration of influenza virus vaccine |
55 |
51 |
$0.00 |