| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,010 |
9,555 |
$417K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
900 |
885 |
$55K |
| 96127 |
|
7,148 |
7,062 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
143 |
143 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
90 |
$7K |
| 90686 |
|
192 |
192 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
361 |
360 |
$3K |
| 99385 |
|
41 |
40 |
$3K |
| 99406 |
|
51 |
51 |
$309.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$263.76 |
| 3074F |
|
66 |
64 |
$170.80 |
| 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) |
43 |
41 |
$55.67 |
| 94760 |
|
167 |
163 |
$36.49 |
| 3078F |
|
12 |
12 |
$28.40 |
| 3008F |
|
273 |
271 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
276 |
274 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99080 |
|
5,594 |
5,502 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
258 |
253 |
$0.00 |
| 1090F |
|
13 |
13 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |