| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,306 |
1,178 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
612 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
72 |
25 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
66 |
64 |
$830.28 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$690.79 |
| 93000 |
|
28 |
27 |
$217.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
623 |
619 |
$43.50 |
| 82962 |
|
1,645 |
1,457 |
$0.00 |
| 3044F |
|
25 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 82044 |
|
14 |
14 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 81003 |
|
158 |
156 |
$0.00 |
| 82570 |
|
14 |
14 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| 81002 |
|
17 |
17 |
$0.00 |
| 3095F |
|
21 |
20 |
$0.00 |