| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,875 |
5,772 |
$228K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
637 |
579 |
$10K |
| 99442 |
|
120 |
109 |
$4K |
| 93000 |
|
548 |
539 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
243 |
241 |
$3K |
| 92100 |
|
114 |
113 |
$2K |
| 92587 |
|
21 |
21 |
$338.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$68.86 |