| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,141 |
2,132 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
146 |
$10K |
| 95251 |
|
292 |
289 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
746 |
745 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
142 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$596.80 |
| 3044F |
|
25 |
25 |
$0.00 |