| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,574 |
2,154 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
415 |
$34K |
| 96160 |
|
1,134 |
943 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
96 |
84 |
$8K |
| 90739 |
|
14 |
12 |
$2K |
| 90686 |
|
72 |
62 |
$1K |
| 90716 |
|
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
80 |
$523.50 |
| 90713 |
|
18 |
16 |
$385.46 |
| 90744 |
|
17 |
16 |
$285.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$219.00 |
| 90633 |
|
12 |
12 |
$202.20 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$56.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$0.00 |