| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,687 |
4,188 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,111 |
1,956 |
$115K |
| 93000 |
|
500 |
492 |
$4K |
| 99490 |
Ccm add 20min |
63 |
63 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
441 |
408 |
$3K |
| 99439 |
|
34 |
34 |
$1K |
| 99441 |
|
92 |
79 |
$1K |
| 93040 |
|
245 |
240 |
$1K |
| 99497 |
|
69 |
68 |
$1K |
| 90688 |
|
148 |
142 |
$1K |
| 94010 |
|
71 |
70 |
$994.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$666.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
70 |
$618.04 |
| 36415 |
Collection of venous blood by venipuncture |
1,453 |
1,404 |
$371.77 |
| 99442 |
|
21 |
20 |
$234.60 |
| 97802 |
|
301 |
292 |
$79.32 |
| 3074F |
|
2,599 |
2,353 |
$40.00 |
| 99401 |
|
44 |
44 |
$37.89 |
| 3078F |
|
2,286 |
2,103 |
$30.00 |
| 3079F |
|
1,064 |
979 |
$20.00 |
| 3077F |
|
84 |
81 |
$5.00 |
| 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) |
253 |
222 |
$3.92 |
| 3075F |
|
410 |
375 |
$0.00 |
| 3008F |
|
1,365 |
1,198 |
$0.00 |
| 3048F |
|
142 |
140 |
$0.00 |
| 3044F |
|
502 |
482 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
83 |
82 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
306 |
267 |
$0.00 |
| 1000F |
|
15 |
15 |
$0.00 |
| 3049F |
|
38 |
38 |
$0.00 |
| 3066F |
|
49 |
46 |
$0.00 |
| 4010F |
|
15 |
13 |
$0.00 |
| 3072F |
|
36 |
32 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
446 |
399 |
$0.00 |
| 3061F |
|
17 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 2028F |
|
185 |
166 |
$0.00 |
| 4551F |
|
232 |
223 |
$0.00 |
| 3050F |
|
14 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
445 |
393 |
$0.00 |
| 3725F |
|
86 |
85 |
$0.00 |