| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
3,035 |
2,548 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,319 |
2,881 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,340 |
2,824 |
$87K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,877 |
2,456 |
$50K |
| 96127 |
|
4,962 |
4,091 |
$23K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,788 |
2,391 |
$16K |
| 99215 |
Prolong outpt/office vis |
103 |
94 |
$6K |
| 90682 |
|
64 |
62 |
$3K |
| 90686 |
|
70 |
70 |
$3K |
| 99490 |
Ccm add 20min |
148 |
148 |
$2K |
| 92250 |
|
38 |
38 |
$2K |
| 99354 |
|
22 |
22 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
131 |
$1K |
| 99243 |
|
13 |
13 |
$850.85 |
| 99401 |
|
32 |
32 |
$650.38 |
| 99402 |
|
16 |
15 |
$559.52 |
| 3074F |
|
43 |
38 |
$0.00 |
| 3078F |
|
65 |
59 |
$0.00 |