| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
4,786 |
4,360 |
$471K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,927 |
1,822 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,226 |
1,076 |
$83K |
| 99205 |
Prolong outpt/office vis |
401 |
401 |
$66K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,685 |
1,329 |
$61K |
| 99403 |
|
1,155 |
1,088 |
$43K |
| 99402 |
|
1,246 |
1,191 |
$42K |
| 93701 |
|
1,485 |
1,446 |
$38K |
| 95251 |
|
944 |
776 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$6K |
| 99245 |
|
13 |
13 |
$2K |
| 99401 |
|
96 |
93 |
$2K |
| 97802 |
|
14 |
14 |
$308.70 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$88.89 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
14 |
$71.76 |
| 99091 |
|
96 |
78 |
$30.87 |
| 97803 |
|
25 |
25 |
$0.00 |