| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,753 |
1,637 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,133 |
989 |
$41K |
| 96127 |
|
670 |
638 |
$2K |
| 90686 |
|
93 |
88 |
$1K |
| 36416 |
|
262 |
247 |
$555.97 |
| 87428 |
|
12 |
12 |
$340.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$270.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$206.10 |
| 90688 |
|
17 |
17 |
$174.84 |
| 81003 |
|
102 |
97 |
$150.86 |
| 81002 |
|
52 |
48 |
$108.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
24 |
$102.80 |
| 85018 |
|
41 |
41 |
$81.50 |
| 1160F |
|
573 |
547 |
$0.00 |
| 3078F |
|
140 |
137 |
$0.00 |
| 3008F |
|
983 |
924 |
$0.00 |
| 3074F |
|
299 |
282 |
$0.00 |
| 1220F |
|
60 |
57 |
$0.00 |
| 3079F |
|
153 |
143 |
$0.00 |