| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,139 |
3,775 |
$447K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
951 |
888 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
325 |
323 |
$50K |
| 99215 |
Prolong outpt/office vis |
420 |
350 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
256 |
$26K |
| 96127 |
|
1,413 |
1,314 |
$11K |
| 99490 |
Ccm add 20min |
189 |
189 |
$11K |
| 99439 |
|
143 |
143 |
$9K |
| 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) |
537 |
502 |
$7K |
| 0012A |
|
75 |
75 |
$3K |
| 99458 |
|
41 |
41 |
$2K |
| 0011A |
|
62 |
62 |
$2K |
| 99442 |
|
33 |
29 |
$2K |
| 99443 |
|
12 |
12 |
$1K |
| 90674 |
|
36 |
36 |
$849.03 |
| 95117 |
|
50 |
12 |
$668.43 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
101 |
$648.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$547.55 |
| 99457 |
|
70 |
70 |
$520.30 |
| 0013A |
|
13 |
13 |
$520.00 |
| Q3014 |
Telehealth originating site facility fee |
14 |
13 |
$434.98 |
| 91301 |
|
138 |
129 |
$0.93 |
| 91306 |
|
18 |
18 |
$0.07 |