| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,115 |
4,784 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,521 |
1,413 |
$11K |
| 3078F |
|
887 |
867 |
$5K |
| 3074F |
|
479 |
472 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
167 |
$2K |
| 90686 |
|
384 |
275 |
$1K |
| 3079F |
|
148 |
147 |
$840.00 |
| 3075F |
|
114 |
111 |
$760.00 |
| G0008 |
Administration of influenza virus vaccine |
416 |
414 |
$679.00 |
| 90662 |
|
157 |
157 |
$494.28 |
| 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) |
75 |
74 |
$478.37 |
| 3077F |
|
71 |
68 |
$290.00 |
| 3725F |
|
182 |
180 |
$270.00 |
| 90656 |
|
16 |
16 |
$231.75 |
| 3044F |
|
37 |
36 |
$220.00 |
| 90653 |
|
80 |
80 |
$143.49 |
| 3072F |
|
14 |
14 |
$100.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
36 |
$92.00 |
| G0009 |
Administration of pneumococcal vaccine |
40 |
40 |
$19.00 |
| 4010F |
|
12 |
12 |
$10.00 |
| 1160F |
|
67 |
64 |
$0.00 |
| G9920 |
Screening performed and negative |
239 |
227 |
$0.00 |
| 1159F |
|
67 |
64 |
$0.00 |
| 3008F |
|
2,837 |
2,671 |
$0.00 |
| 1123F |
|
2,364 |
2,228 |
$0.00 |
| 1220F |
|
446 |
442 |
$0.00 |
| 3061F |
|
80 |
78 |
$0.00 |
| 1170F |
|
45 |
40 |
$0.00 |
| 1126F |
|
35 |
30 |
$0.00 |