| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,913 |
6,412 |
$579K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,364 |
2,187 |
$143K |
| 76536 |
|
868 |
854 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
360 |
358 |
$45K |
| 76981 |
|
362 |
335 |
$9K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
230 |
224 |
$8K |
| 95251 |
|
324 |
291 |
$7K |
| 95250 |
|
65 |
61 |
$7K |
| 93923 |
|
59 |
55 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
84 |
24 |
$4K |
| 95923 |
|
26 |
26 |
$3K |
| 95921 |
|
26 |
26 |
$2K |
| 99072 |
|
526 |
457 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
151 |
148 |
$2K |
| 93000 |
|
55 |
55 |
$730.32 |
| 76770 |
|
12 |
12 |
$642.20 |
| 96160 |
|
277 |
277 |
$572.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$512.80 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
17 |
17 |
$248.56 |
| 82947 |
|
88 |
85 |
$216.19 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
77 |
$69.41 |
| 1160F |
|
96 |
96 |
$0.00 |
| 99000 |
|
47 |
46 |
$0.00 |
| 3008F |
|
187 |
185 |
$0.00 |