| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,505 |
14,167 |
$598K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,685 |
6,892 |
$428K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
156 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
88 |
$1K |
| 90686 |
|
95 |
88 |
$1K |
| 99177 |
|
82 |
81 |
$739.54 |
| 90674 |
|
36 |
36 |
$655.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
31 |
31 |
$187.36 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
38 |
$124.74 |
| 99307 |
|
12 |
12 |
$18.11 |