| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,430 |
1,270 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,131 |
887 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$840.34 |
| 81002 |
|
195 |
164 |
$429.76 |
| Q3014 |
Telehealth originating site facility fee |
20 |
19 |
$246.24 |
| 81003 |
|
270 |
268 |
$170.14 |
| 92552 |
|
12 |
12 |
$93.72 |
| 99173 |
|
234 |
227 |
$83.99 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
17 |
13 |
$62.79 |
| 1000F |
|
686 |
462 |
$0.00 |
| 3008F |
|
780 |
591 |
$0.00 |
| 1036F |
|
1,780 |
1,488 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
315 |
262 |
$0.00 |
| 1170F |
|
169 |
157 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
24 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
210 |
181 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
665 |
446 |
$0.00 |
| 3725F |
|
85 |
83 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
54 |
24 |
$0.00 |