| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,084 |
7,311 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,685 |
2,006 |
$167K |
| 99407 |
|
1,527 |
1,263 |
$29K |
| 80306 |
|
4,171 |
2,577 |
$20K |
| 99215 |
Prolong outpt/office vis |
118 |
113 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
145 |
144 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
48 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
22 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
115 |
112 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$611.26 |
| 99401 |
|
12 |
12 |
$292.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$234.27 |