| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,268 |
1,164 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
808 |
$38K |
| 99215 |
Prolong outpt/office vis |
618 |
548 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
107 |
104 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
81 |
$7K |
| 99383 |
|
33 |
33 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$1K |
| 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 |
76 |
62 |
$1K |
| 90715 |
|
61 |
60 |
$589.20 |
| 90734 |
|
77 |
76 |
$492.80 |
| 90723 |
|
53 |
53 |
$339.20 |
| 90670 |
|
53 |
53 |
$339.20 |
| 90647 |
|
32 |
32 |
$204.80 |
| 90681 |
|
30 |
30 |
$192.00 |
| 90710 |
|
26 |
25 |
$160.00 |
| 90696 |
|
24 |
23 |
$147.20 |
| 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) |
15 |
13 |
$122.84 |
| 90688 |
|
13 |
13 |
$83.20 |
| 90744 |
|
13 |
12 |
$76.80 |