| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,466 |
4,771 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,506 |
2,760 |
$113K |
| 99199 |
Unlisted special service, procedure or report |
10,909 |
7,169 |
$60K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
923 |
795 |
$3K |
| 82947 |
|
431 |
328 |
$747.42 |
| 90674 |
|
33 |
16 |
$224.16 |
| 99490 |
Ccm add 20min |
41 |
26 |
$210.19 |
| 90756 |
|
74 |
42 |
$195.42 |
| 90661 |
|
12 |
12 |
$130.60 |
| 82044 |
|
49 |
42 |
$48.46 |
| 3074F |
|
4,798 |
3,622 |
$30.17 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$18.90 |
| 96160 |
|
16 |
13 |
$16.40 |
| 3079F |
|
1,923 |
1,499 |
$0.00 |
| 3075F |
|
237 |
206 |
$0.00 |
| 3044F |
|
154 |
135 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
137 |
124 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
946 |
680 |
$0.00 |
| 3078F |
|
4,002 |
3,075 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,343 |
1,010 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
698 |
534 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |
| 3077F |
|
160 |
125 |
$0.00 |