| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,384 |
2,143 |
$225K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,244 |
1,099 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$3K |
| 76536 |
|
13 |
13 |
$2K |
| 82947 |
|
464 |
412 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
26 |
26 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,916 |
1,867 |
$832.09 |
| 90688 |
|
38 |
38 |
$679.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$559.29 |
| 90656 |
|
23 |
23 |
$452.70 |
| 81002 |
|
158 |
152 |
$367.25 |
| 3008F |
|
12 |
12 |
$0.00 |