| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
135 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
82 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$348.36 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
21 |
$339.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$78.12 |
| 96160 |
|
22 |
22 |
$47.51 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
29 |
$41.16 |
| 81002 |
|
14 |
13 |
$15.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
15 |
$11.45 |
| 3077F |
|
59 |
54 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 3078F |
|
56 |
53 |
$0.00 |
| 3074F |
|
116 |
109 |
$0.00 |
| 3008F |
|
261 |
233 |
$0.00 |
| 3075F |
|
36 |
36 |
$0.00 |
| 3080F |
|
53 |
48 |
$0.00 |
| 3044F |
|
16 |
16 |
$0.00 |
| 3079F |
|
85 |
81 |
$0.00 |