| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,858 |
5,387 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,919 |
2,807 |
$71K |
| 99401 |
|
2,129 |
2,037 |
$18K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
512 |
112 |
$11K |
| 99402 |
|
242 |
233 |
$7K |
| 99490 |
Ccm add 20min |
2,093 |
2,077 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
337 |
$3K |
| 90674 |
|
229 |
228 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
227 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
51 |
48 |
$2K |
| 90756 |
|
162 |
162 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
96 |
91 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
40 |
$992.12 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$883.29 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
389 |
385 |
$867.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
22 |
$701.08 |
| 99223 |
Prolong inpt eval add15 m |
16 |
14 |
$378.28 |
| 99072 |
|
153 |
141 |
$280.00 |
| 96127 |
|
198 |
194 |
$273.19 |
| G0008 |
Administration of influenza virus vaccine |
67 |
67 |
$247.93 |
| 99439 |
|
332 |
330 |
$240.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
32 |
$221.82 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$211.50 |
| 99454 |
|
47 |
47 |
$152.44 |
| 86328 |
|
13 |
13 |
$113.09 |
| 99457 |
|
47 |
47 |
$111.48 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
48 |
$12.41 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
45 |
$0.00 |
| 1101F |
|
48 |
48 |
$0.00 |