| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,409 |
6,804 |
$217K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
633 |
532 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
882 |
695 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
36 |
35 |
$3K |
| 99490 |
Ccm add 20min |
1,349 |
948 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$518.26 |
| 93000 |
|
87 |
73 |
$120.42 |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
74 |
$116.92 |
| 72100 |
|
12 |
12 |
$80.82 |
| 99439 |
|
265 |
192 |
$46.23 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
183 |
150 |
$36.49 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
71 |
50 |
$0.00 |
| 99497 |
|
121 |
101 |
$0.00 |
| 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) |
19 |
16 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
13 |
$0.00 |