| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,191 |
6,561 |
$490K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,206 |
4,787 |
$261K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
169 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$4K |
| 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) |
306 |
283 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
17 |
$2K |
| 90686 |
|
116 |
107 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
194 |
175 |
$1K |
| 90674 |
|
12 |
12 |
$305.84 |
| 0012A |
|
12 |
12 |
$227.97 |
| 3080F |
|
14 |
12 |
$50.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
30 |
24 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
12 |
12 |
$0.00 |