| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,258 |
9,197 |
$960K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,108 |
2,627 |
$250K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
450 |
394 |
$52K |
| 93000 |
|
2,532 |
2,309 |
$33K |
| 36410 |
|
2,107 |
1,830 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
195 |
182 |
$23K |
| 99205 |
Prolong outpt/office vis |
62 |
53 |
$10K |
| 93922 |
|
62 |
53 |
$4K |
| 0012A |
|
94 |
91 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
60 |
$3K |
| 0011A |
|
98 |
91 |
$3K |
| 81003 |
|
2,608 |
2,401 |
$3K |
| 96127 |
|
795 |
717 |
$3K |
| 99215 |
Prolong outpt/office vis |
18 |
13 |
$3K |
| 96161 |
|
1,670 |
1,550 |
$3K |
| 90674 |
|
88 |
84 |
$2K |
| 99173 |
|
933 |
870 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
763 |
719 |
$2K |
| 0064A |
|
35 |
32 |
$1K |
| 82043 |
|
211 |
193 |
$691.23 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
24 |
$524.57 |
| 3008F |
|
533 |
498 |
$360.00 |
| 90688 |
|
19 |
17 |
$318.56 |
| 82274 |
|
18 |
13 |
$188.56 |
| 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) |
15 |
13 |
$158.24 |
| 99408 |
|
44 |
38 |
$155.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
124 |
116 |
$64.10 |
| 94760 |
|
54 |
50 |
$60.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$56.47 |
| 99490 |
Ccm add 20min |
287 |
285 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
72 |
72 |
$0.00 |
| 1036F |
|
185 |
171 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
373 |
360 |
$0.00 |
| 1101F |
|
93 |
92 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
28 |
$0.00 |