| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,378 |
8,606 |
$368K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,668 |
6,044 |
$241K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
420 |
409 |
$25K |
| 92551 |
|
1,417 |
1,408 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
127 |
$9K |
| 99496 |
|
83 |
83 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
191 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
599 |
586 |
$6K |
| 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) |
2,074 |
1,617 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
66 |
$4K |
| 90688 |
|
374 |
370 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
210 |
197 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
567 |
539 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$2K |
| 99173 |
|
944 |
933 |
$2K |
| 99397 |
|
70 |
67 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$730.48 |
| 90674 |
|
49 |
49 |
$655.58 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$584.30 |
| 90686 |
|
44 |
44 |
$541.64 |
| 82962 |
|
1,052 |
968 |
$445.76 |
| 3008F |
|
10,337 |
9,054 |
$367.00 |
| 82948 |
|
338 |
329 |
$340.14 |
| 99442 |
|
14 |
14 |
$276.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
43 |
$238.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$133.06 |
| 1159F |
|
8,319 |
7,285 |
$124.00 |
| 82947 |
|
22 |
22 |
$26.77 |
| 96127 |
|
20 |
19 |
$24.16 |
| 3079F |
|
604 |
575 |
$20.00 |
| 3074F |
|
506 |
482 |
$17.00 |
| 3078F |
|
636 |
605 |
$17.00 |
| 1160F |
|
1,472 |
1,358 |
$17.00 |
| 3077F |
|
377 |
354 |
$13.00 |
| 3075F |
|
438 |
418 |
$12.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$10.90 |
| 3044F |
|
499 |
467 |
$10.00 |
| 1125F |
|
161 |
153 |
$2.02 |
| 1126F |
|
52 |
51 |
$1.00 |
| 3080F |
|
14 |
12 |
$1.00 |
| 3051F |
|
28 |
26 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |