| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,338 |
18,785 |
$778K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,778 |
4,649 |
$230K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,102 |
2,901 |
$96K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
604 |
604 |
$50K |
| 99442 |
|
1,985 |
1,747 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
372 |
$27K |
| 99441 |
|
1,684 |
1,486 |
$27K |
| 82947 |
|
7,323 |
6,739 |
$16K |
| 90688 |
|
1,428 |
1,428 |
$15K |
| 93000 |
|
1,244 |
1,240 |
$13K |
| 99397 |
|
320 |
320 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
866 |
866 |
$11K |
| 93922 |
|
260 |
260 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
754 |
670 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
49 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
44 |
$2K |
| 99443 |
|
42 |
42 |
$2K |
| 99307 |
|
213 |
155 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 77080 |
|
13 |
13 |
$594.79 |
| G0008 |
Administration of influenza virus vaccine |
586 |
585 |
$470.30 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
125 |
100 |
$325.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
38 |
$314.64 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
14 |
$260.62 |
| 3078F |
|
1,540 |
1,514 |
$253.00 |
| 3074F |
|
1,253 |
1,234 |
$204.00 |
| 99490 |
Ccm add 20min |
40 |
40 |
$200.00 |
| 81003 |
|
365 |
356 |
$173.51 |
| 90670 |
|
27 |
27 |
$172.26 |
| 86580 |
|
28 |
24 |
$156.65 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
113 |
113 |
$90.85 |
| 3075F |
|
517 |
514 |
$84.00 |
| G0009 |
Administration of pneumococcal vaccine |
107 |
107 |
$70.18 |
| 3079F |
|
248 |
247 |
$38.00 |
| 1170F |
|
427 |
425 |
$10.00 |
| 1160F |
|
367 |
365 |
$7.00 |
| 3077F |
|
30 |
30 |
$4.00 |
| 3044F |
|
32 |
32 |
$3.00 |
| 1125F |
|
194 |
192 |
$1.00 |
| 1126F |
|
24 |
24 |
$1.00 |
| 1159F |
|
50 |
50 |
$1.00 |
| 4037F |
|
142 |
142 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 1124F |
|
176 |
175 |
$0.00 |
| 4040F |
|
12 |
12 |
$0.00 |