| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,769 |
2,457 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,126 |
1,839 |
$136K |
| 99401 |
|
3,961 |
3,043 |
$94K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
98 |
98 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
88 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
175 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
97 |
$6K |
| 93000 |
|
133 |
127 |
$2K |
| 99072 |
|
291 |
205 |
$1K |
| 99050 |
|
314 |
260 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,445 |
1,398 |
$790.29 |
| 1159F |
|
3,159 |
2,258 |
$525.00 |
| 1160F |
|
3,123 |
2,241 |
$510.00 |
| 93880 |
|
12 |
12 |
$396.47 |
| 1170F |
|
2,727 |
1,996 |
$370.00 |
| 99490 |
Ccm add 20min |
27 |
27 |
$272.40 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
20 |
20 |
$230.65 |
| 90688 |
|
14 |
14 |
$185.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$109.24 |
| 0521F |
|
1,192 |
924 |
$32.00 |
| 94760 |
|
386 |
327 |
$15.11 |
| 3008F |
|
107 |
77 |
$0.05 |
| 3725F |
|
2,479 |
1,862 |
$0.00 |
| 2028F |
|
50 |
37 |
$0.00 |
| 2001F |
|
1,798 |
1,318 |
$0.00 |
| 1036F |
|
1,815 |
1,344 |
$0.00 |