| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
711 |
642 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
730 |
615 |
$30K |
| 81002 |
|
724 |
644 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$840.00 |
| 82962 |
|
435 |
342 |
$485.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
181 |
172 |
$475.14 |
| 36415 |
Collection of venous blood by venipuncture |
533 |
494 |
$468.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
171 |
166 |
$448.00 |
| 81000 |
|
237 |
197 |
$429.69 |
| 90674 |
|
17 |
16 |
$384.80 |
| 93000 |
|
13 |
12 |
$228.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$144.00 |
| 92551 |
|
27 |
27 |
$130.00 |
| 99173 |
|
26 |
26 |
$130.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$75.00 |
| G0008 |
Administration of influenza virus vaccine |
43 |
43 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
60 |
58 |
$0.00 |
| 90756 |
|
44 |
44 |
$0.00 |
| 83037 |
|
25 |
25 |
$0.00 |