| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,188 |
7,804 |
$630K |
| 99401 |
|
1,541 |
1,421 |
$46K |
| 99497 |
|
618 |
586 |
$34K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
185 |
175 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
128 |
$11K |
| 99215 |
Prolong outpt/office vis |
129 |
119 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
53 |
$5K |
| 96160 |
|
770 |
738 |
$2K |
| 90674 |
|
39 |
36 |
$747.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
35 |
$729.30 |
| 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) |
69 |
49 |
$309.72 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
12 |
$121.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
49 |
46 |
$19.47 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
17 |
12 |
$12.40 |
| 1003F |
|
17 |
16 |
$0.00 |
| 1090F |
|
16 |
16 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 1101F |
|
16 |
16 |
$0.00 |
| 1170F |
|
17 |
16 |
$0.00 |
| 1220F |
|
18 |
17 |
$0.00 |