| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,405 |
6,613 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,199 |
2,665 |
$71K |
| 99307 |
|
976 |
711 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
105 |
98 |
$6K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
227 |
143 |
$4K |
| 99397 |
|
88 |
76 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
37 |
$2K |
| 99457 |
|
851 |
710 |
$1K |
| 99349 |
|
25 |
17 |
$837.96 |
| 96130 |
|
50 |
50 |
$803.65 |
| 99497 |
|
26 |
26 |
$663.12 |
| 99454 |
|
317 |
268 |
$471.64 |
| 93000 |
|
47 |
45 |
$385.42 |
| 90662 |
|
21 |
21 |
$365.88 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
15 |
$313.78 |
| 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) |
220 |
176 |
$244.92 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$97.20 |
| 96103 |
|
13 |
12 |
$23.33 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |