| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
274 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
97 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
166 |
161 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$400.00 |
| 90686 |
|
23 |
23 |
$379.49 |
| 82962 |
|
61 |
60 |
$119.45 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
299 |
280 |
$0.00 |