| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,355 |
5,317 |
$440K |
| 99205 |
Prolong outpt/office vis |
885 |
883 |
$129K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
2,031 |
2,017 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
388 |
$23K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
194 |
58 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
60 |
59 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
56 |
33 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
145 |
143 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$7.44 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,452 |
1,439 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
217 |
213 |
$0.00 |
| M1211 |
Most recent glycemic status assessment (hba1c or gmi) level > 9.0% |
43 |
43 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
43 |
43 |
$0.00 |