| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,362 |
4,825 |
$173K |
| 99215 |
Prolong outpt/office vis |
563 |
529 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
242 |
226 |
$7K |
| 90686 |
|
110 |
107 |
$2K |
| 80047 |
|
277 |
255 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
251 |
242 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
809 |
752 |
$2K |
| 85027 |
|
126 |
114 |
$642.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
103 |
$433.33 |
| 96127 |
|
41 |
38 |
$361.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$124.08 |
| 81003 |
|
16 |
14 |
$32.12 |