| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,587 |
2,419 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,108 |
939 |
$49K |
| 99215 |
Prolong outpt/office vis |
126 |
111 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
877 |
843 |
$4K |
| 90756 |
|
188 |
182 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
98 |
$460.00 |
| 90661 |
|
20 |
17 |
$385.00 |
| 81002 |
|
56 |
52 |
$86.61 |
| 1159F |
|
468 |
439 |
$0.00 |
| 1160F |
|
468 |
439 |
$0.00 |
| 3078F |
|
106 |
92 |
$0.00 |
| 0518F |
|
14 |
14 |
$0.00 |
| 3077F |
|
79 |
65 |
$0.00 |
| 3044F |
|
301 |
289 |
$0.00 |
| 1125F |
|
238 |
226 |
$0.00 |
| 3008F |
|
1,879 |
1,677 |
$0.00 |
| 1126F |
|
798 |
740 |
$0.00 |
| 3079F |
|
121 |
112 |
$0.00 |
| 3074F |
|
48 |
40 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
84 |
82 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
49 |
$0.00 |