| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,016 |
766 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
93 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
102 |
81 |
$600.23 |
| 90686 |
|
17 |
14 |
$387.85 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
34 |
$250.57 |
| 82962 |
|
136 |
90 |
$215.34 |
| 4004F |
|
96 |
64 |
$0.00 |
| 3045F |
|
13 |
13 |
$0.00 |
| 2022F |
|
194 |
163 |
$0.00 |
| 4040F |
|
81 |
64 |
$0.00 |
| 3046F |
|
50 |
33 |
$0.00 |
| 1036F |
|
434 |
363 |
$0.00 |
| 3017F |
|
357 |
288 |
$0.00 |
| 1101F |
|
81 |
64 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |
| 3014F |
|
66 |
49 |
$0.00 |