| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,729 |
13,509 |
$1.22M |
| 99205 |
Prolong outpt/office vis |
1,881 |
1,779 |
$256K |
| 93880 |
|
919 |
845 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,904 |
1,723 |
$86K |
| 93922 |
|
1,915 |
1,734 |
$86K |
| 99385 |
|
650 |
626 |
$74K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
631 |
610 |
$70K |
| 94060 |
|
1,623 |
1,492 |
$65K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
695 |
637 |
$51K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
442 |
406 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,282 |
2,835 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
301 |
288 |
$30K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
524 |
497 |
$25K |
| 93000 |
|
2,148 |
1,934 |
$23K |
| 99386 |
|
122 |
113 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
52 |
$7K |
| 76706 |
|
88 |
85 |
$4K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
46 |
46 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$880.32 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
112 |
111 |
$857.37 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
46 |
46 |
$821.20 |
| 99408 |
|
113 |
112 |
$665.00 |
| 99490 |
Ccm add 20min |
137 |
128 |
$48.72 |
| 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) |
104 |
97 |
$19.44 |
| 99439 |
|
105 |
97 |
$11.29 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
102 |
99 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
83 |
82 |
$0.00 |