| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
807 |
436 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
486 |
430 |
$17K |
| 99457 |
|
2,702 |
2,699 |
$11K |
| 99454 |
|
1,124 |
1,120 |
$7K |
| 99205 |
Prolong outpt/office vis |
35 |
32 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
123 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
39 |
35 |
$1K |
| 99458 |
|
310 |
310 |
$250.23 |
| 99490 |
Ccm add 20min |
274 |
274 |
$132.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
79 |
$113.50 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$86.43 |
| 99497 |
|
24 |
24 |
$43.54 |
| 99453 |
|
93 |
93 |
$23.88 |
| 82947 |
|
145 |
133 |
$7.06 |
| 76706 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
23 |
23 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
74 |
59 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
23 |
23 |
$0.00 |