| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,442 |
1,294 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
585 |
$7K |
| 93000 |
|
334 |
331 |
$944.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
60 |
$726.95 |
| 36415 |
Collection of venous blood by venipuncture |
991 |
932 |
$251.72 |
| 81002 |
|
579 |
570 |
$181.05 |
| 99051 |
|
110 |
99 |
$134.97 |
| 3077F |
|
26 |
26 |
$60.00 |
| 99401 |
|
19 |
18 |
$23.84 |
| 3078F |
|
12 |
12 |
$22.50 |
| 1126F |
|
50 |
46 |
$0.00 |
| 3008F |
|
31 |
27 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
21 |
18 |
$0.00 |