| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,401 |
8,010 |
$717K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,049 |
5,485 |
$355K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
981 |
981 |
$81K |
| 99401 |
|
1,605 |
1,511 |
$37K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
342 |
342 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
155 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
550 |
550 |
$6K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
89 |
89 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$3K |
| 99443 |
|
72 |
72 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$895.79 |
| 90674 |
|
57 |
57 |
$728.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
36 |
36 |
$580.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
58 |
$348.00 |
| 96127 |
|
54 |
53 |
$273.91 |
| 93000 |
|
15 |
15 |
$252.00 |
| 96160 |
|
127 |
127 |
$207.09 |
| 99406 |
|
16 |
15 |
$126.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
55 |
$85.60 |
| 3079F |
|
304 |
298 |
$0.00 |
| 3074F |
|
387 |
377 |
$0.00 |
| 3080F |
|
72 |
71 |
$0.00 |
| 3075F |
|
247 |
240 |
$0.00 |
| 3078F |
|
493 |
474 |
$0.00 |
| 3077F |
|
256 |
247 |
$0.00 |
| G9920 |
Screening performed and negative |
48 |
48 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.00 |