| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,379 |
6,133 |
$520K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,165 |
1,938 |
$130K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
121 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
961 |
859 |
$290.27 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$2.64 |
| 90688 |
|
95 |
86 |
$0.00 |
| 90686 |
|
50 |
47 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
24 |
$0.00 |