| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,786 |
4,615 |
$21K |
| 96160 |
|
488 |
235 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,605 |
4,150 |
$106.98 |
| 99441 |
|
2,132 |
1,224 |
$42.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,813 |
2,233 |
$40.00 |
| 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 |
642 |
527 |
$20.01 |
| 3074F |
|
3,253 |
2,040 |
$20.00 |
| 3078F |
|
3,273 |
2,052 |
$8.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
86 |
$0.02 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
229 |
206 |
$0.02 |
| 1126F |
|
2,366 |
1,382 |
$0.00 |
| 3061F |
|
613 |
336 |
$0.00 |
| 3044F |
|
987 |
578 |
$0.00 |
| 3017F |
|
858 |
490 |
$0.00 |
| 3048F |
|
469 |
246 |
$0.00 |
| 3008F |
|
1,615 |
1,003 |
$0.00 |
| 2010F |
|
553 |
437 |
$0.00 |
| 1157F |
|
502 |
211 |
$0.00 |
| 3049F |
|
293 |
174 |
$0.00 |
| 1170F |
|
1,718 |
987 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
83 |
82 |
$0.00 |
| 1125F |
|
217 |
113 |
$0.00 |
| 96150 |
|
12 |
12 |
$0.00 |
| 0521F |
|
656 |
538 |
$0.00 |
| 1160F |
|
2,601 |
1,450 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
97 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
93 |
$0.00 |
| 99201 |
|
86 |
84 |
$0.00 |
| 1158F |
|
551 |
233 |
$0.00 |
| 1159F |
|
2,620 |
1,461 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$0.00 |
| 99442 |
|
160 |
82 |
$0.00 |
| 3050F |
|
131 |
83 |
$0.00 |
| 3274F |
|
127 |
56 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
18 |
$0.00 |