| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,386 |
3,206 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,949 |
2,706 |
$113K |
| 80061 |
Lipid panel |
454 |
447 |
$5K |
| 90688 |
|
149 |
149 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
74 |
$1K |
| 81003 |
|
621 |
610 |
$1K |
| 90633 |
|
42 |
42 |
$961.17 |
| 36415 |
Collection of venous blood by venipuncture |
373 |
363 |
$753.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$394.32 |
| 83721 |
|
70 |
70 |
$243.60 |
| G0008 |
Administration of influenza virus vaccine |
137 |
137 |
$235.50 |
| 83700 |
|
12 |
12 |
$101.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
28 |
28 |
$71.96 |
| 3008F |
|
72 |
72 |
$0.00 |
| 2014F |
|
12 |
12 |
$0.00 |