| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,443 |
6,104 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,367 |
4,196 |
$12K |
| 90688 |
|
115 |
115 |
$2K |
| 90674 |
|
29 |
29 |
$854.87 |
| 90694 |
|
102 |
102 |
$676.41 |
| 90662 |
|
95 |
95 |
$511.95 |
| 90661 |
|
14 |
14 |
$316.98 |
| 90653 |
|
28 |
28 |
$294.29 |
| 99490 |
Ccm add 20min |
73 |
73 |
$292.15 |
| 90686 |
|
12 |
12 |
$109.12 |
| 99497 |
|
166 |
166 |
$100.01 |
| 99091 |
|
15 |
15 |
$72.14 |
| 99215 |
Prolong outpt/office vis |
63 |
63 |
$63.06 |
| 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) |
48 |
46 |
$57.89 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
117 |
117 |
$28.02 |
| 99443 |
|
20 |
20 |
$24.00 |
| 99457 |
|
26 |
26 |
$22.59 |
| 93000 |
|
13 |
13 |
$21.56 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
223 |
216 |
$5.75 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
218 |
217 |
$5.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
176 |
176 |
$4.61 |
| 3075F |
|
410 |
403 |
$0.00 |
| 3079F |
|
436 |
429 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
601 |
585 |
$0.00 |
| 3074F |
|
1,401 |
1,335 |
$0.00 |
| 3044F |
|
73 |
71 |
$0.00 |
| 3080F |
|
68 |
63 |
$0.00 |
| 3078F |
|
1,454 |
1,390 |
$0.00 |
| 3077F |
|
147 |
138 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| 99442 |
|
18 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
32 |
32 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$0.00 |