| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,101 |
4,994 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,275 |
5,336 |
$57K |
| 91320 |
|
132 |
126 |
$1K |
| 96401 |
|
300 |
178 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
607 |
501 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
464 |
351 |
$1K |
| 99497 |
|
290 |
269 |
$844.54 |
| 0124A |
|
176 |
162 |
$500.66 |
| 90662 |
|
613 |
496 |
$460.41 |
| 0003A |
|
39 |
36 |
$240.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
146 |
85 |
$201.67 |
| 0004A |
|
35 |
34 |
$162.00 |
| 90480 |
|
135 |
126 |
$85.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
309 |
247 |
$75.11 |
| 93000 |
|
53 |
36 |
$66.86 |
| G0008 |
Administration of influenza virus vaccine |
613 |
501 |
$37.87 |
| 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) |
439 |
317 |
$32.31 |
| 82962 |
|
35 |
25 |
$5.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
12 |
$0.00 |