| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,238 |
891 |
$130K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
697 |
223 |
$44K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
475 |
193 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
197 |
53 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
65 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
57 |
56 |
$9K |
| 99215 |
Prolong outpt/office vis |
41 |
41 |
$6K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 95251 |
|
13 |
12 |
$506.62 |