| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,379 |
20,528 |
$1.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,241 |
3,987 |
$395K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,142 |
2,120 |
$215K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,209 |
1,204 |
$109K |
| 99442 |
|
2,482 |
1,946 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
135 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,110 |
2,090 |
$5K |
| 90674 |
|
188 |
185 |
$4K |
| 96127 |
|
1,490 |
1,484 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 90686 |
|
180 |
180 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
269 |
267 |
$3K |
| 99490 |
Ccm add 20min |
62 |
62 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$1K |
| 99401 |
|
76 |
76 |
$990.29 |
| 99497 |
|
56 |
56 |
$678.79 |
| 90756 |
|
23 |
23 |
$631.87 |
| Q3014 |
Telehealth originating site facility fee |
64 |
57 |
$469.04 |
| 90656 |
|
38 |
37 |
$447.49 |
| 99051 |
|
106 |
106 |
$435.00 |
| G0008 |
Administration of influenza virus vaccine |
112 |
111 |
$409.98 |
| 99406 |
|
42 |
41 |
$275.52 |
| 99407 |
|
15 |
15 |
$51.96 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
130 |
130 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
52 |
52 |
$0.00 |