| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
670 |
610 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$548.72 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
18 |
13 |
$449.71 |
| 90686 |
|
22 |
20 |
$290.55 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$184.21 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
108 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
19 |
$0.00 |