| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,646 |
1,853 |
$39K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
110 |
82 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
377 |
$10K |
| 93922 |
|
12 |
12 |
$436.00 |
| 95923 |
|
12 |
12 |
$113.40 |
| 95922 |
|
12 |
12 |
$42.46 |
| 93923 |
|
16 |
15 |
$11.16 |
| 82962 |
|
133 |
100 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
193 |
171 |
$0.00 |
| 1170F |
|
16 |
12 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
32 |
29 |
$0.00 |
| 97803 |
|
84 |
70 |
$0.00 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
17 |
13 |
$0.00 |