| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,332 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
226 |
$8K |
| 82947 |
|
1,476 |
1,198 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
819 |
765 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
151 |
120 |
$5K |
| 99215 |
Prolong outpt/office vis |
35 |
33 |
$2K |
| 90686 |
|
16 |
14 |
$303.46 |
| 82043 |
|
49 |
48 |
$185.60 |
| 81002 |
|
55 |
51 |
$143.64 |
| 82570 |
|
31 |
30 |
$132.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
16 |
$0.00 |