| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,855 |
9,930 |
$599K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,615 |
5,142 |
$400K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,042 |
1,006 |
$106K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
523 |
504 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,501 |
1,419 |
$27K |
| 90756 |
|
1,760 |
1,672 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
277 |
273 |
$25K |
| 93000 |
|
1,467 |
1,399 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
221 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
6,477 |
6,033 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
255 |
$8K |
| 99406 |
|
721 |
615 |
$7K |
| 0064A |
|
166 |
164 |
$5K |
| 0012A |
|
112 |
109 |
$4K |
| 0011A |
|
129 |
129 |
$4K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
143 |
141 |
$4K |
| 93922 |
|
81 |
76 |
$3K |
| 0004A |
|
153 |
152 |
$3K |
| 90661 |
|
115 |
115 |
$3K |
| 94010 |
|
60 |
59 |
$2K |
| 93015 |
|
21 |
21 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
107 |
106 |
$1K |
| 92250 |
|
15 |
14 |
$541.36 |
| 90658 |
|
35 |
33 |
$431.44 |
| 77085 |
|
34 |
31 |
$223.70 |
| 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) |
32 |
32 |
$208.10 |
| 86769 |
|
107 |
61 |
$171.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
15 |
12 |
$109.60 |
| 83518 |
|
55 |
55 |
$57.84 |
| 81002 |
|
44 |
38 |
$13.92 |
| 99000 |
|
84 |
40 |
$9.30 |
| G0008 |
Administration of influenza virus vaccine |
465 |
458 |
$0.00 |
| 91301 |
|
424 |
415 |
$0.00 |
| 1111F |
|
43 |
28 |
$0.00 |
| 91305 |
|
20 |
19 |
$0.00 |
| 91300 |
|
175 |
173 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
15 |
15 |
$0.00 |
| 0054A |
|
19 |
18 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
54 |
43 |
$0.00 |
| 90653 |
|
15 |
15 |
$0.00 |