| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,035 |
4,777 |
$237K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
56 |
$5K |
| S9999 |
Sales tax |
839 |
775 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
283 |
282 |
$2K |
| 90674 |
|
102 |
102 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
89 |
85 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
337 |
336 |
$636.85 |
| 82948 |
|
256 |
246 |
$624.16 |
| G0008 |
Administration of influenza virus vaccine |
90 |
90 |
$505.98 |
| 99441 |
|
15 |
15 |
$273.94 |
| 82962 |
|
119 |
118 |
$213.64 |
| 81002 |
|
87 |
85 |
$139.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
19 |
$50.25 |