| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
459 |
320 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
120 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
262 |
209 |
$53.07 |
| 81003 |
|
128 |
75 |
$48.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
12 |
$13.60 |
| 80053 |
Comprehensive metabolic panel |
29 |
28 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
26 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
17 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
15 |
12 |
$0.00 |
| 80061 |
Lipid panel |
28 |
27 |
$0.00 |