| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,738 |
2,501 |
$75K |
| 93922 |
|
2,083 |
1,748 |
$72K |
| 96521 |
|
1,444 |
597 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
528 |
414 |
$21K |
| 93880 |
|
368 |
314 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,047 |
779 |
$11K |
| 33533 |
|
16 |
13 |
$9K |
| 99487 |
Ccm add 20min |
588 |
501 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
190 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
534 |
421 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
287 |
93 |
$4K |
| 99489 |
Ccm add 20min |
383 |
334 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
405 |
210 |
$2K |
| 99457 |
|
1,857 |
1,687 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
95 |
83 |
$2K |
| 99454 |
|
681 |
592 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,020 |
418 |
$2K |
| 99458 |
|
1,274 |
1,126 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,017 |
417 |
$1K |
| 82962 |
|
462 |
211 |
$942.28 |
| 99439 |
|
268 |
241 |
$716.94 |
| 95251 |
|
257 |
206 |
$660.14 |
| 99490 |
Ccm add 20min |
271 |
244 |
$544.31 |
| 33508 |
|
15 |
12 |
$67.26 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
160 |
66 |
$65.45 |
| 99072 |
|
46 |
39 |
$0.00 |