| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,121 |
1,087 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
743 |
703 |
$27K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
201 |
192 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 2001F |
|
453 |
432 |
$1K |
| 2000F |
|
461 |
440 |
$1K |
| 3078F |
|
28 |
27 |
$439.72 |
| 3074F |
|
27 |
26 |
$439.72 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
157 |
$69.87 |
| 4004F |
|
18 |
18 |
$0.00 |
| 3725F |
|
21 |
21 |
$0.00 |
| 3077F |
|
42 |
39 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |
| 1036F |
|
20 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
20 |
$0.00 |