| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,124 |
1,015 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
306 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
237 |
$3K |
| 97802 |
|
229 |
226 |
$1K |
| 90686 |
|
30 |
28 |
$654.51 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
46 |
43 |
$165.93 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$147.58 |
| 86592 |
|
39 |
39 |
$75.72 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
41 |
$60.91 |
| 3015F |
|
13 |
13 |
$0.00 |
| 3008F |
|
197 |
194 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
27 |
27 |
$0.00 |