| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,168 |
3,537 |
$229K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,882 |
3,232 |
$143K |
| 99441 |
|
1,084 |
982 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
771 |
699 |
$20K |
| 93000 |
|
1,220 |
1,205 |
$12K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
1,914 |
1,449 |
$12K |
| 93922 |
|
230 |
208 |
$7K |
| 99401 |
|
473 |
408 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
73 |
73 |
$5K |
| 94010 |
|
80 |
78 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,529 |
1,515 |
$2K |
| 81002 |
|
2,308 |
2,287 |
$2K |
| 99406 |
|
162 |
130 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,473 |
2,453 |
$1K |
| 82947 |
|
1,432 |
1,134 |
$987.76 |
| 99442 |
|
26 |
21 |
$665.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$634.67 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
126 |
126 |
$510.79 |
| 90756 |
|
26 |
25 |
$397.54 |
| 86328 |
|
34 |
34 |
$271.38 |
| 99497 |
|
34 |
34 |
$243.82 |
| 3074F |
|
677 |
522 |
$52.50 |
| 3078F |
|
713 |
551 |
$45.00 |
| 90653 |
|
16 |
16 |
$20.24 |
| 3079F |
|
105 |
94 |
$2.50 |
| 3075F |
|
115 |
97 |
$2.50 |
| 4013F |
|
441 |
410 |
$0.00 |
| 99072 |
|
145 |
99 |
$0.00 |
| 90863 |
|
42 |
39 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 80074 |
|
12 |
12 |
$0.00 |
| 99429 |
|
216 |
158 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |