| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,039 |
11,454 |
$169K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,409 |
20,775 |
$154K |
| 99215 |
Prolong outpt/office vis |
586 |
571 |
$11K |
| 90688 |
|
456 |
456 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,509 |
1,393 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
299 |
297 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
88 |
$5K |
| 93000 |
|
292 |
267 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
648 |
575 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
609 |
607 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
334 |
278 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
82 |
$231.09 |
| 1159F |
|
13,933 |
12,541 |
$148.01 |
| 94760 |
|
314 |
278 |
$108.31 |
| 1160F |
|
13,630 |
12,273 |
$83.02 |
| 3074F |
|
4,152 |
3,784 |
$0.00 |
| 3075F |
|
242 |
230 |
$0.00 |
| 3079F |
|
1,071 |
992 |
$0.00 |
| 3078F |
|
3,771 |
3,420 |
$0.00 |
| 3077F |
|
476 |
412 |
$0.00 |