| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,243 |
1,744 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
939 |
777 |
$46K |
| 99497 |
|
1,101 |
959 |
$28K |
| 99072 |
|
1,050 |
831 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
93 |
78 |
$3K |
| 99406 |
|
351 |
266 |
$2K |
| 93000 |
|
379 |
345 |
$2K |
| 99443 |
|
41 |
33 |
$1K |
| 96127 |
|
1,169 |
1,042 |
$1K |
| 99442 |
|
46 |
40 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
26 |
$990.96 |
| 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) |
242 |
179 |
$957.32 |
| 94010 |
|
53 |
51 |
$614.83 |
| 94760 |
|
1,947 |
1,541 |
$554.09 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
88 |
70 |
$355.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$127.45 |
| 1170F |
|
95 |
85 |
$0.05 |
| 1125F |
|
29 |
25 |
$0.01 |
| 1160F |
|
22 |
18 |
$0.01 |
| 1159F |
|
22 |
18 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,315 |
1,098 |
$0.00 |
| 1036F |
|
2,658 |
1,980 |
$0.00 |
| 1123F |
|
45 |
41 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
670 |
504 |
$0.00 |
| 1158F |
|
76 |
70 |
$0.00 |
| 1124F |
|
15 |
15 |
$0.00 |