| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,993 |
3,506 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,723 |
1,533 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,074 |
263 |
$23K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
923 |
186 |
$14K |
| 90682 |
|
58 |
57 |
$1K |
| 90686 |
|
44 |
40 |
$95.15 |
| G0008 |
Administration of influenza virus vaccine |
71 |
66 |
$0.05 |
| 3074F |
|
30 |
29 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
36 |
30 |
$0.00 |
| 3075F |
|
17 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
18 |
13 |
$0.00 |
| 3078F |
|
108 |
88 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |