| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,344 |
3,241 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,387 |
2,749 |
$155K |
| 99401 |
|
1,329 |
1,290 |
$27K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
844 |
823 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
701 |
692 |
$9K |
| 93000 |
|
589 |
561 |
$5K |
| 90682 |
|
87 |
85 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
183 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
37 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,752 |
1,695 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$900.35 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$687.59 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$440.74 |
| 96127 |
|
126 |
125 |
$392.67 |
| 90686 |
|
13 |
13 |
$229.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$209.02 |
| 93040 |
|
305 |
289 |
$94.78 |
| 94760 |
|
123 |
116 |
$79.12 |
| 97129 |
|
27 |
24 |
$30.43 |
| 1170F |
|
292 |
260 |
$10.00 |
| 3008F |
|
2,480 |
2,198 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
12 |
$0.00 |