| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,247 |
7,602 |
$358K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,395 |
4,397 |
$265K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,053 |
1,544 |
$9K |
| 82962 |
|
4,286 |
3,359 |
$7K |
| 0012A |
|
194 |
180 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
209 |
$5K |
| 0011A |
|
169 |
152 |
$4K |
| 80061 |
Lipid panel |
1,317 |
928 |
$4K |
| 0064A |
|
87 |
78 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
61 |
54 |
$2K |
| 99385 |
|
17 |
14 |
$1K |
| 96127 |
|
138 |
116 |
$549.92 |
| 36415 |
Collection of venous blood by venipuncture |
260 |
235 |
$458.07 |
| 95251 |
|
18 |
16 |
$449.49 |
| 93000 |
|
33 |
30 |
$392.19 |
| 3078F |
|
158 |
135 |
$388.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
66 |
48 |
$373.45 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
203 |
128 |
$369.75 |
| 0134A |
|
17 |
12 |
$320.00 |
| 82465 |
|
163 |
123 |
$274.15 |
| 99490 |
Ccm add 20min |
67 |
49 |
$214.10 |
| 3077F |
|
85 |
74 |
$154.00 |
| 81002 |
|
68 |
52 |
$134.27 |
| 1170F |
|
135 |
87 |
$75.00 |
| 3075F |
|
32 |
27 |
$67.00 |
| 3044F |
|
39 |
30 |
$45.36 |
| 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) |
16 |
16 |
$40.74 |
| 96160 |
|
187 |
116 |
$39.85 |
| 3074F |
|
27 |
20 |
$31.00 |
| 1159F |
|
51 |
37 |
$25.00 |
| 2028F |
|
35 |
28 |
$25.00 |
| 2014F |
|
67 |
50 |
$25.00 |
| 91301 |
|
329 |
297 |
$2.59 |
| 91306 |
|
71 |
66 |
$0.15 |
| 3079F |
|
15 |
12 |
$0.00 |
| 4010F |
|
57 |
44 |
$0.00 |
| 1126F |
|
16 |
12 |
$0.00 |
| 4013F |
|
21 |
15 |
$0.00 |