| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,029 |
2,823 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,139 |
3,483 |
$238K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
346 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
281 |
271 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
127 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
54 |
$5K |
| 99354 |
|
45 |
43 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
108 |
103 |
$3K |
| 99385 |
|
15 |
14 |
$1K |
| 94760 |
|
18 |
14 |
$29.52 |