| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,561 |
1,250 |
$0.00 |
| 90674 |
|
148 |
138 |
$0.00 |
| 99385 |
|
15 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
175 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
177 |
$0.00 |
| 94760 |
|
249 |
231 |
$0.00 |
| 99441 |
|
29 |
29 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
223 |
126 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
120 |
67 |
$0.00 |
| 99499 |
|
83 |
75 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
65 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
69 |
47 |
$0.00 |
| 90715 |
|
24 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
46 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |
| 99442 |
|
15 |
13 |
$0.00 |