| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,217 |
2,901 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,177 |
2,805 |
$137K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
201 |
193 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
167 |
156 |
$14K |
| 90686 |
|
308 |
239 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
14 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
172 |
158 |
$1K |
| 90656 |
|
37 |
26 |
$711.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
179 |
128 |
$61.84 |
| 36415 |
Collection of venous blood by venipuncture |
363 |
329 |
$45.10 |