| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,923 |
7,705 |
$608K |
| 99401 |
|
2,269 |
2,056 |
$67K |
| 99215 |
Prolong outpt/office vis |
611 |
541 |
$45K |
| 99497 |
|
625 |
589 |
$33K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
158 |
152 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
56 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$3K |
| 90674 |
|
123 |
105 |
$2K |
| 96160 |
|
821 |
791 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
83 |
$2K |
| 99397 |
|
59 |
53 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
68 |
56 |
$557.90 |
| 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) |
137 |
95 |
$528.19 |
| 99457 |
|
13 |
13 |
$505.86 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
34 |
$20.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$2.98 |
| 1159F |
|
17 |
14 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| 1003F |
|
43 |
40 |
$0.00 |
| 1090F |
|
32 |
28 |
$0.00 |
| 1170F |
|
24 |
21 |
$0.00 |
| 1101F |
|
24 |
21 |
$0.00 |
| 1220F |
|
40 |
37 |
$0.00 |
| 3079F |
|
22 |
19 |
$0.00 |
| 1125F |
|
17 |
14 |
$0.00 |
| 1126F |
|
15 |
14 |
$0.00 |