| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,723 |
2,259 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,818 |
2,088 |
$30K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
255 |
233 |
$15K |
| 90961 |
|
651 |
504 |
$12K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$952.33 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
106 |
100 |
$127.79 |
| 3074F |
|
865 |
765 |
$1.04 |
| 1170F |
|
1,356 |
1,133 |
$1.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
42 |
37 |
$0.08 |
| 3078F |
|
1,098 |
921 |
$0.00 |
| 1160F |
|
809 |
711 |
$0.00 |
| 1159F |
|
779 |
682 |
$0.00 |
| 1090F |
|
30 |
28 |
$0.00 |
| 3077F |
|
29 |
25 |
$0.00 |
| 1126F |
|
489 |
415 |
$0.00 |
| 1157F |
|
773 |
679 |
$0.00 |
| 90962 |
|
54 |
51 |
$0.00 |
| 3044F |
|
49 |
45 |
$0.00 |
| 3079F |
|
78 |
64 |
$0.00 |
| 3075F |
|
167 |
160 |
$0.00 |
| 1101F |
|
52 |
49 |
$0.00 |
| 1220F |
|
16 |
15 |
$0.00 |