| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,043 |
5,110 |
$470K |
| 76536 |
|
1,765 |
1,575 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,305 |
$104K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,229 |
900 |
$43K |
| 95250 |
|
342 |
290 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
117 |
$11K |
| 95251 |
|
845 |
692 |
$11K |
| 99442 |
|
165 |
135 |
$8K |
| 99490 |
Ccm add 20min |
333 |
246 |
$3K |
| 82962 |
|
3,172 |
2,252 |
$3K |
| 99443 |
|
20 |
16 |
$2K |
| 99401 |
|
56 |
54 |
$2K |
| 95923 |
|
101 |
101 |
$1K |
| 93922 |
|
103 |
103 |
$1K |
| 95921 |
|
101 |
101 |
$777.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
24 |
$420.29 |
| 99491 |
Ccm add 20min |
13 |
12 |
$63.88 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$39.61 |
| 99072 |
|
259 |
226 |
$17.50 |
| 1101F |
|
24 |
22 |
$0.00 |
| 1000F |
|
27 |
23 |
$0.00 |
| 1170F |
|
14 |
13 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
27 |
24 |
$0.00 |
| 1036F |
|
27 |
24 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| 3288F |
|
25 |
23 |
$0.00 |
| 1100F |
|
31 |
28 |
$0.00 |