| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,009 |
9,604 |
$504K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,128 |
5,510 |
$326K |
| 99442 |
|
539 |
474 |
$21K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
122 |
121 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
103 |
$10K |
| 90674 |
|
478 |
448 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
714 |
663 |
$8K |
| 99490 |
Ccm add 20min |
1,190 |
1,015 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
133 |
$3K |
| 0012A |
|
76 |
76 |
$3K |
| 99496 |
|
108 |
99 |
$2K |
| 99487 |
Ccm add 20min |
245 |
220 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
41 |
$2K |
| 90686 |
|
328 |
296 |
$2K |
| 0011A |
|
84 |
80 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$1K |
| 99497 |
|
152 |
130 |
$329.72 |
| 90653 |
|
52 |
47 |
$264.52 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
164 |
141 |
$212.06 |
| 0013A |
|
19 |
13 |
$200.00 |
| 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) |
63 |
42 |
$77.76 |
| 90694 |
|
15 |
14 |
$66.43 |
| 86580 |
|
12 |
12 |
$27.35 |
| 91301 |
|
120 |
119 |
$0.23 |
| 90662 |
|
15 |
14 |
$0.00 |
| 3078F |
|
1,660 |
1,565 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
71 |
63 |
$0.00 |
| 3044F |
|
101 |
96 |
$0.00 |
| 3075F |
|
284 |
273 |
$0.00 |
| 3079F |
|
487 |
467 |
$0.00 |
| 3074F |
|
1,833 |
1,720 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
224 |
197 |
$0.00 |
| 2023F |
|
14 |
12 |
$0.00 |