| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,916 |
1,660 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,205 |
1,106 |
$73K |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$2K |
| 90682 |
|
58 |
58 |
$914.96 |
| 90686 |
|
76 |
76 |
$808.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$738.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$71.94 |
| G0008 |
Administration of influenza virus vaccine |
76 |
76 |
$22.50 |