| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,986 |
5,583 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,628 |
1,317 |
$50K |
| 99215 |
Prolong outpt/office vis |
431 |
328 |
$11K |
| 99490 |
Ccm add 20min |
171 |
125 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
28 |
$732.82 |
| 92552 |
|
161 |
139 |
$469.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
37 |
$254.65 |
| 0011A |
|
62 |
52 |
$215.52 |
| 90688 |
|
24 |
18 |
$184.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
24 |
$90.12 |
| 81007 |
|
69 |
58 |
$39.02 |
| 90658 |
|
96 |
18 |
$12.38 |
| 81002 |
|
275 |
219 |
$10.23 |
| 3008F |
|
1,432 |
1,269 |
$0.00 |
| 1126F |
|
409 |
363 |
$0.00 |
| 1036F |
|
2,042 |
1,616 |
$0.00 |
| 3074F |
|
827 |
754 |
$0.00 |
| 3079F |
|
520 |
466 |
$0.00 |
| 1125F |
|
328 |
283 |
$0.00 |
| 96150 |
|
17 |
15 |
$0.00 |
| 3080F |
|
39 |
37 |
$0.00 |
| 3075F |
|
231 |
201 |
$0.00 |
| 0012A |
|
22 |
20 |
$0.00 |
| 1034F |
|
23 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
13 |
$0.00 |
| 99000 |
|
17 |
14 |
$0.00 |
| 91301 |
|
16 |
13 |
$0.00 |
| 3078F |
|
650 |
594 |
$0.00 |
| 1160F |
|
1,861 |
1,601 |
$0.00 |
| 3077F |
|
167 |
137 |
$0.00 |
| 99072 |
|
120 |
105 |
$0.00 |
| 4004F |
|
54 |
29 |
$0.00 |
| 3288F |
|
17 |
15 |
$0.00 |
| 3725F |
|
31 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
15 |
$0.00 |