| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,614 |
5,174 |
$311K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,482 |
1,995 |
$91K |
| 99215 |
Prolong outpt/office vis |
621 |
529 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,227 |
971 |
$12K |
| 0064A |
|
69 |
69 |
$4K |
| 0012A |
|
133 |
132 |
$4K |
| 0011A |
|
138 |
130 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
123 |
$2K |
| 0124A |
|
29 |
29 |
$1K |
| 90686 |
|
115 |
104 |
$1K |
| 90756 |
|
22 |
20 |
$277.37 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
101 |
87 |
$108.78 |
| 90694 |
|
13 |
13 |
$101.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$68.60 |
| G0008 |
Administration of influenza virus vaccine |
64 |
60 |
$51.99 |
| 4010F |
|
114 |
103 |
$0.00 |
| 91301 |
|
103 |
102 |
$0.00 |
| 3074F |
|
161 |
144 |
$0.00 |
| 1125F |
|
28 |
26 |
$0.00 |
| 91306 |
|
30 |
29 |
$0.00 |
| 3079F |
|
28 |
26 |
$0.00 |
| 1160F |
|
2,016 |
1,641 |
$0.00 |
| 1159F |
|
2,025 |
1,646 |
$0.00 |
| 3078F |
|
70 |
58 |
$0.00 |