| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,773 |
5,688 |
$379K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
853 |
842 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
496 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
208 |
207 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
292 |
288 |
$13K |
| 99397 |
|
230 |
222 |
$10K |
| H0049 |
Alcohol and/or drug screening |
333 |
330 |
$6K |
| 90688 |
|
163 |
162 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
34 |
34 |
$1K |
| 99442 |
|
44 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
235 |
$1K |
| 94010 |
|
42 |
39 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
68 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
68 |
$484.44 |
| 87999 |
|
57 |
55 |
$267.50 |