| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,271 |
13,539 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,418 |
4,228 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,363 |
4,080 |
$2K |
| 99349 |
|
307 |
253 |
$1K |
| 11721 |
|
2,007 |
1,582 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
47 |
$618.82 |
| 99347 |
|
185 |
141 |
$541.47 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
54 |
$532.31 |
| 99215 |
Prolong outpt/office vis |
64 |
54 |
$199.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
280 |
245 |
$165.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
272 |
$160.46 |
| 90834 |
Psychotherapy, 45 minutes with patient |
680 |
510 |
$130.88 |
| 11056 |
|
187 |
139 |
$123.22 |
| 99442 |
|
735 |
605 |
$21.95 |
| G0008 |
Administration of influenza virus vaccine |
708 |
668 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,072 |
793 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
435 |
348 |
$0.00 |
| 1111F |
|
98 |
91 |
$0.00 |
| 82962 |
|
261 |
212 |
$0.00 |
| 11055 |
|
58 |
56 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
61 |
61 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
65 |
61 |
$0.00 |
| 90662 |
|
198 |
182 |
$0.00 |
| 99201 |
|
34 |
27 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
88 |
85 |
$0.00 |
| 99348 |
|
73 |
38 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
29 |
29 |
$0.00 |