| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
597 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
75 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
84 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
38 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$641.20 |
| 99385 |
|
14 |
13 |
$595.50 |
| 3074F |
|
1,126 |
957 |
$500.00 |
| 3078F |
|
1,030 |
798 |
$65.36 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
32 |
$35.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
18 |
$15.46 |
| 1159F |
|
459 |
378 |
$12.61 |
| 1000F |
|
1,305 |
1,038 |
$0.00 |
| 2001F |
|
1,441 |
1,119 |
$0.00 |
| 2000F |
|
1,422 |
1,091 |
$0.00 |
| 1126F |
|
468 |
413 |
$0.00 |
| 1220F |
|
1,333 |
1,145 |
$0.00 |
| 3008F |
|
1,398 |
1,080 |
$0.00 |
| 3079F |
|
45 |
33 |
$0.00 |
| 1125F |
|
29 |
28 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 3075F |
|
16 |
16 |
$0.00 |
| 1157F |
|
55 |
25 |
$0.00 |
| 1160F |
|
456 |
376 |
$0.00 |