| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,294 |
3,074 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,106 |
2,449 |
$48K |
| 99442 |
|
221 |
187 |
$2K |
| 99441 |
|
215 |
166 |
$2K |
| 90686 |
|
337 |
268 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
14 |
$520.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
38 |
$303.29 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$133.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
143 |
97 |
$118.31 |
| 3078F |
|
1,126 |
768 |
$110.00 |
| 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) |
90 |
74 |
$92.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
12 |
$89.48 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
201 |
134 |
$85.17 |
| 3074F |
|
1,036 |
678 |
$80.00 |
| 3077F |
|
219 |
158 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
106 |
78 |
$15.42 |
| 3075F |
|
60 |
52 |
$10.00 |
| 4010F |
|
525 |
371 |
$0.00 |
| 3079F |
|
33 |
27 |
$0.00 |
| 99397 |
|
28 |
21 |
$0.00 |