| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,946 |
1,666 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,484 |
1,257 |
$44K |
| 93000 |
|
121 |
102 |
$518.49 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
126 |
110 |
$377.03 |
| 93922 |
|
15 |
15 |
$203.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
25 |
$198.64 |
| 90674 |
|
20 |
19 |
$178.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
51 |
$175.33 |
| 90756 |
|
19 |
19 |
$136.74 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$128.64 |
| 81003 |
|
20 |
15 |
$6.68 |
| 1125F |
|
19 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 1160F |
|
16 |
14 |
$0.00 |