| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,576 |
1,542 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
800 |
764 |
$46K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
129 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
72 |
72 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,402 |
1,359 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
55 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
203 |
203 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
121 |
$1K |
| 90756 |
|
57 |
55 |
$841.31 |
| 90688 |
|
34 |
34 |
$550.21 |
| 82947 |
|
206 |
206 |
$432.70 |
| 99406 |
|
38 |
38 |
$235.52 |
| 90661 |
|
15 |
15 |
$111.15 |
| 99441 |
|
14 |
12 |
$63.99 |
| 1000F |
|
557 |
552 |
$0.00 |
| 1036F |
|
199 |
198 |
$0.00 |
| 3074F |
|
119 |
115 |
$0.00 |
| 3008F |
|
135 |
134 |
$0.00 |
| 4010F |
|
27 |
27 |
$0.00 |
| 3079F |
|
19 |
19 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 4000F |
|
12 |
12 |
$0.00 |
| 1034F |
|
12 |
12 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 4037F |
|
20 |
20 |
$0.00 |
| 4013F |
|
41 |
41 |
$0.00 |
| 3078F |
|
119 |
113 |
$0.00 |
| 3077F |
|
25 |
24 |
$0.00 |
| 4035F |
|
21 |
21 |
$0.00 |