| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,097 |
14,103 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,934 |
2,705 |
$141K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,399 |
2,377 |
$19K |
| 90732 |
|
133 |
133 |
$16K |
| 90715 |
|
176 |
166 |
$7K |
| 99215 |
Prolong outpt/office vis |
51 |
50 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
578 |
558 |
$3K |
| 90686 |
|
100 |
99 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
92 |
$2K |
| 90674 |
|
60 |
60 |
$2K |
| 99386 |
|
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$811.69 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$384.10 |
| 81002 |
|
93 |
90 |
$181.60 |
| 85018 |
|
14 |
14 |
$28.47 |
| 3052F |
|
43 |
43 |
$0.00 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
15 |
15 |
$0.00 |
| 3051F |
|
131 |
128 |
$0.00 |