| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,404 |
3,384 |
$207K |
| 99199 |
Unlisted special service, procedure or report |
3,589 |
2,428 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
218 |
$8K |
| 93000 |
|
146 |
137 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
73 |
$598.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
155 |
128 |
$574.56 |
| 80305 |
|
45 |
37 |
$314.38 |
| 82947 |
|
110 |
87 |
$159.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$113.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$90.34 |
| G0008 |
Administration of influenza virus vaccine |
47 |
41 |
$0.00 |