| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,319 |
6,878 |
$365K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,472 |
2,343 |
$94K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
60 |
27 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
404 |
246 |
$17K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
131 |
114 |
$6K |
| 90686 |
|
109 |
109 |
$2K |
| 64615 |
|
30 |
27 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
195 |
189 |
$1K |
| 96127 |
|
289 |
236 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$740.54 |
| 90688 |
|
14 |
14 |
$227.78 |