| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,443 |
6,837 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,922 |
3,787 |
$188K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
763 |
698 |
$18K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,543 |
1,531 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
104 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
84 |
83 |
$7K |
| 99385 |
|
18 |
18 |
$3K |
| 99386 |
|
15 |
15 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
33 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
32 |
32 |
$515.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$280.98 |
| 90686 |
|
12 |
12 |
$223.92 |
| 3051F |
|
135 |
133 |
$0.00 |
| 3052F |
|
35 |
34 |
$0.00 |