| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,152 |
923 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
336 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
83 |
$4K |
| 99490 |
Ccm add 20min |
148 |
139 |
$4K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
29 |
27 |
$958.75 |
| 99401 |
|
109 |
100 |
$771.37 |
| 99407 |
|
45 |
42 |
$563.73 |
| 90674 |
|
13 |
13 |
$294.62 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
26 |
25 |
$201.98 |
| 94762 |
|
17 |
14 |
$94.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$87.60 |
| 90688 |
|
38 |
37 |
$71.36 |
| 99403 |
|
108 |
102 |
$0.00 |