| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,016 |
4,581 |
$283K |
| 93970 |
|
405 |
376 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
533 |
421 |
$27K |
| 99457 |
|
837 |
812 |
$15K |
| 99215 |
Prolong outpt/office vis |
632 |
585 |
$12K |
| 99454 |
|
691 |
670 |
$8K |
| 93925 |
|
64 |
53 |
$8K |
| 93000 |
|
730 |
647 |
$7K |
| 93922 |
|
92 |
86 |
$4K |
| 99497 |
|
207 |
196 |
$3K |
| 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) |
319 |
247 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$2K |
| 99458 |
|
98 |
84 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
162 |
152 |
$672.72 |
| 99490 |
Ccm add 20min |
153 |
146 |
$591.75 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14 |
12 |
$507.69 |
| 97750 |
|
163 |
149 |
$447.86 |
| 99401 |
|
122 |
104 |
$377.44 |
| 96127 |
|
343 |
322 |
$336.93 |
| 90658 |
|
25 |
25 |
$336.54 |
| 99453 |
|
44 |
44 |
$320.31 |
| 99397 |
|
76 |
70 |
$297.29 |
| 81003 |
|
188 |
166 |
$278.43 |
| 1170F |
|
546 |
492 |
$252.16 |
| 82570 |
|
97 |
88 |
$205.18 |
| 80061 |
Lipid panel |
27 |
26 |
$197.21 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
193 |
170 |
$121.41 |
| 90662 |
|
13 |
12 |
$48.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$32.00 |
| 81000 |
|
14 |
12 |
$28.61 |
| 82044 |
|
13 |
13 |
$11.41 |
| 3074F |
|
322 |
262 |
$0.02 |
| 3078F |
|
442 |
341 |
$0.02 |
| 1126F |
|
229 |
211 |
$0.01 |
| 1159F |
|
432 |
385 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
202 |
197 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
146 |
126 |
$0.00 |
| 1036F |
|
227 |
212 |
$0.00 |
| 1125F |
|
100 |
84 |
$0.00 |
| 1123F |
|
44 |
43 |
$0.00 |
| 3079F |
|
73 |
64 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 3075F |
|
25 |
24 |
$0.00 |
| 3061F |
|
15 |
12 |
$0.00 |
| 1160F |
|
385 |
343 |
$0.00 |
| 1100F |
|
268 |
231 |
$0.00 |
| 4005F |
|
93 |
73 |
$0.00 |
| 3077F |
|
72 |
54 |
$0.00 |
| 1090F |
|
246 |
215 |
$0.00 |
| 1124F |
|
13 |
13 |
$0.00 |
| 1158F |
|
73 |
65 |
$0.00 |
| S9999 |
Sales tax |
19 |
15 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |