| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,982 |
8,784 |
$606K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,768 |
6,475 |
$341K |
| 99490 |
Ccm add 20min |
8,756 |
8,218 |
$237K |
| 99439 |
|
2,018 |
1,887 |
$56K |
| 99215 |
Prolong outpt/office vis |
594 |
526 |
$49K |
| 99487 |
Ccm add 20min |
575 |
517 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
184 |
146 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
194 |
168 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
225 |
200 |
$7K |
| 90682 |
|
210 |
190 |
$6K |
| 99489 |
Ccm add 20min |
281 |
249 |
$6K |
| 96127 |
|
1,767 |
1,356 |
$6K |
| 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) |
753 |
644 |
$5K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
315 |
277 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,346 |
549 |
$5K |
| 99491 |
Ccm add 20min |
70 |
66 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$4K |
| 90686 |
|
230 |
215 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
51 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
434 |
378 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$972.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
69 |
56 |
$916.52 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
58 |
51 |
$378.90 |
| 90674 |
|
845 |
99 |
$330.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$221.33 |
| 90670 |
|
12 |
12 |
$198.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
27 |
$180.99 |
| 81002 |
|
173 |
164 |
$168.62 |
| 90662 |
|
18 |
16 |
$144.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$77.90 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
13 |
$38.24 |
| 99173 |
|
14 |
14 |
$37.27 |
| 3079F |
|
149 |
141 |
$0.00 |
| 3075F |
|
63 |
61 |
$0.00 |
| 3074F |
|
280 |
256 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
46 |
$0.00 |
| 91301 |
|
16 |
16 |
$0.00 |
| 3078F |
|
284 |
263 |
$0.00 |
| 1159F |
|
548 |
495 |
$0.00 |
| 1160F |
|
567 |
514 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
476 |
423 |
$0.00 |
| 90461 |
|
103 |
64 |
$0.00 |
| 3077F |
|
100 |
91 |
$0.00 |
| 99072 |
|
30 |
29 |
$0.00 |