| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,756 |
1,682 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,267 |
1,186 |
$32K |
| 90686 |
|
133 |
128 |
$700.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$138.59 |
| 80061 |
Lipid panel |
12 |
12 |
$93.73 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$67.97 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$3.00 |
| G0008 |
Administration of influenza virus vaccine |
79 |
78 |
$0.00 |