| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
897 |
749 |
$81K |
| 99199 |
Unlisted special service, procedure or report |
7,296 |
4,142 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
128 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
407 |
361 |
$707.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
28 |
$399.00 |
| 90688 |
|
40 |
15 |
$228.90 |
| 81002 |
|
38 |
37 |
$66.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$47.88 |
| 90658 |
|
42 |
14 |
$0.00 |