| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,156 |
3,778 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
555 |
503 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
640 |
580 |
$15K |
| 80053 |
Comprehensive metabolic panel |
2,237 |
2,076 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
207 |
62 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,719 |
3,389 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,504 |
1,423 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
215 |
72 |
$3K |
| 81003 |
|
2,109 |
1,902 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
702 |
622 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
60 |
51 |
$1K |
| 95251 |
|
318 |
290 |
$847.36 |
| 80061 |
Lipid panel |
230 |
222 |
$708.21 |
| 99223 |
Prolong inpt eval add15 m |
14 |
13 |
$653.16 |
| 99222 |
Initial hospital care, per day, moderate complexity |
20 |
18 |
$531.50 |
| 90686 |
|
31 |
27 |
$207.96 |
| 82044 |
|
14 |
14 |
$5.65 |
| 3074F |
|
192 |
173 |
$0.00 |
| 3048F |
|
59 |
58 |
$0.00 |
| 3008F |
|
114 |
109 |
$0.00 |
| 1111F |
|
116 |
111 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
16 |
$0.00 |
| 3078F |
|
193 |
174 |
$0.00 |