| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
427 |
427 |
$21K |
| 99490 |
Ccm add 20min |
3,495 |
3,483 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
592 |
$9K |
| 99439 |
|
3,251 |
3,244 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
144 |
143 |
$6K |
| 99458 |
|
3,317 |
3,310 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
323 |
307 |
$6K |
| 99457 |
|
3,349 |
3,337 |
$4K |
| 99454 |
|
661 |
632 |
$4K |
| 99487 |
Ccm add 20min |
73 |
73 |
$1K |
| 99484 |
|
883 |
882 |
$1K |
| 99489 |
Ccm add 20min |
73 |
73 |
$1K |
| 99426 |
|
13 |
13 |
$44.97 |
| 96127 |
|
40 |
40 |
$8.81 |
| 99427 |
|
12 |
12 |
$8.37 |
| 94760 |
|
229 |
208 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
43 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
127 |
127 |
$0.00 |
| 3008F |
|
27 |
27 |
$0.00 |
| 2000F |
|
27 |
27 |
$0.00 |
| 2010F |
|
27 |
27 |
$0.00 |