| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,870 |
5,629 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,219 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
405 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
26 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$883.73 |
| 36415 |
Collection of venous blood by venipuncture |
224 |
194 |
$295.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
208 |
175 |
$86.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
70 |
$22.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
19 |
14 |
$0.00 |