| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
764 |
674 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
227 |
219 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$105.84 |
| 99401 |
|
226 |
222 |
$76.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
113 |
113 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
163 |
$0.00 |
| 97802 |
|
79 |
79 |
$0.00 |
| 3008F |
|
79 |
79 |
$0.00 |
| 96127 |
|
37 |
37 |
$0.00 |
| 81002 |
|
82 |
79 |
$0.00 |
| 80061 |
Lipid panel |
139 |
139 |
$0.00 |