| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,988 |
3,403 |
$224K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,377 |
2,817 |
$152K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
63 |
$5K |
| 93000 |
|
525 |
503 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
45 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
146 |
144 |
$2K |
| 96127 |
|
697 |
663 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
93 |
$1K |
| 99490 |
Ccm add 20min |
701 |
693 |
$389.33 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$362.72 |
| 90674 |
|
15 |
14 |
$314.62 |
| 90756 |
|
16 |
14 |
$254.20 |
| 99051 |
|
29 |
27 |
$191.62 |
| 90686 |
|
12 |
12 |
$156.21 |
| 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) |
79 |
71 |
$91.87 |
| 81003 |
|
128 |
112 |
$79.20 |
| 81001 |
|
48 |
44 |
$46.05 |
| G8482 |
Influenza immunization administered or previously received |
84 |
83 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 99497 |
|
12 |
12 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 4037F |
|
75 |
63 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |