| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,108 |
1,050 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,010 |
922 |
$43K |
| 99443 |
|
13 |
12 |
$515.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$511.25 |
| 90688 |
|
80 |
76 |
$454.62 |
| 90686 |
|
53 |
52 |
$385.32 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
118 |
$49.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$44.30 |
| G0008 |
Administration of influenza virus vaccine |
118 |
116 |
$0.00 |