| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,362 |
1,282 |
$87K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
137 |
128 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
158 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
71 |
69 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
258 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
115 |
110 |
$731.99 |
| 82962 |
|
125 |
116 |
$208.98 |