| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,154 |
1,535 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
268 |
$14K |
| 93000 |
|
226 |
189 |
$1K |
| 94010 |
|
70 |
54 |
$492.12 |
| 81003 |
|
543 |
448 |
$375.93 |
| 82947 |
|
84 |
76 |
$120.72 |
| 81025 |
|
17 |
15 |
$81.84 |
| 80061 |
Lipid panel |
395 |
311 |
$65.62 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
168 |
120 |
$17.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
105 |
90 |
$3.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
185 |
132 |
$0.00 |