| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,020 |
1,646 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,324 |
1,211 |
$45K |
| 93000 |
|
475 |
466 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
715 |
581 |
$3K |
| 94010 |
|
88 |
86 |
$2K |
| 94690 |
|
36 |
34 |
$1K |
| 82962 |
|
673 |
551 |
$216.00 |
| 99406 |
|
29 |
25 |
$211.84 |
| 90756 |
|
12 |
12 |
$106.64 |
| 36415 |
Collection of venous blood by venipuncture |
662 |
628 |
$50.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$35.69 |
| 96160 |
|
18 |
17 |
$19.31 |
| 94667 |
|
16 |
14 |
$5.00 |
| 3008F |
|
178 |
142 |
$0.00 |
| 3074F |
|
29 |
27 |
$0.00 |
| 3080F |
|
29 |
29 |
$0.00 |
| 3079F |
|
14 |
12 |
$0.00 |
| 3077F |
|
56 |
49 |
$0.00 |
| 3078F |
|
39 |
37 |
$0.00 |