| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,769 |
6,724 |
$528K |
| 94060 |
|
1,382 |
1,382 |
$65K |
| 92587 |
|
1,187 |
1,187 |
$25K |
| 93000 |
|
1,487 |
1,487 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
151 |
$14K |
| 93224 |
|
108 |
104 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
335 |
325 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$5K |
| 36410 |
|
1,479 |
1,452 |
$4K |
| 90682 |
|
56 |
56 |
$3K |
| 90756 |
|
93 |
93 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$1K |
| 3074F |
|
187 |
182 |
$1K |
| 3078F |
|
173 |
168 |
$1K |
| 90674 |
|
34 |
34 |
$881.44 |
| 93922 |
|
138 |
137 |
$813.93 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
17 |
13 |
$651.62 |
| 86580 |
|
63 |
60 |
$430.13 |
| 36415 |
Collection of venous blood by venipuncture |
204 |
199 |
$395.65 |
| 82947 |
|
150 |
147 |
$243.70 |
| 99406 |
|
13 |
12 |
$76.94 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$72.06 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,688 |
1,516 |
$0.00 |
| 99000 |
|
455 |
448 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
916 |
812 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
346 |
307 |
$0.00 |