| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,373 |
906 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
357 |
328 |
$4K |
| 93925 |
|
81 |
76 |
$4K |
| 99457 |
|
717 |
710 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
285 |
236 |
$1K |
| 99490 |
Ccm add 20min |
1,275 |
1,268 |
$1K |
| 91320 |
|
67 |
65 |
$879.63 |
| 99441 |
|
112 |
106 |
$827.80 |
| 99497 |
|
273 |
250 |
$824.28 |
| 99458 |
|
649 |
643 |
$749.24 |
| 99439 |
|
779 |
777 |
$605.49 |
| 93880 |
|
15 |
13 |
$591.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
318 |
260 |
$390.99 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
284 |
235 |
$382.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
31 |
$379.68 |
| 99454 |
|
389 |
387 |
$355.52 |
| 90677 |
|
13 |
12 |
$317.40 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
55 |
$294.41 |
| 93308 |
|
14 |
14 |
$212.26 |
| 90661 |
|
81 |
78 |
$177.10 |
| 90480 |
|
67 |
65 |
$159.31 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
32 |
31 |
$112.74 |
| 36415 |
Collection of venous blood by venipuncture |
203 |
182 |
$110.87 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
325 |
272 |
$74.62 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
14 |
14 |
$74.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
45 |
45 |
$57.86 |
| 97750 |
|
32 |
30 |
$48.54 |
| 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) |
14 |
14 |
$39.48 |
| 1036F |
|
29 |
28 |
$25.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
83 |
$0.00 |
| J3490 |
Unclassified drugs |
105 |
84 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
29 |
28 |
$0.00 |