| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,180 |
5,108 |
$27K |
| 99429 |
|
340 |
297 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,291 |
3,216 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
31 |
30 |
$225.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$217.92 |
| 90658 |
|
176 |
176 |
$64.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
577 |
576 |
$44.46 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
259 |
259 |
$40.00 |
| 90674 |
|
478 |
477 |
$29.05 |
| 96160 |
|
1,489 |
1,488 |
$3.62 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
321 |
279 |
$0.00 |
| 3075F |
|
173 |
161 |
$0.00 |
| 3048F |
|
140 |
136 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
188 |
187 |
$0.00 |
| 1170F |
|
309 |
267 |
$0.00 |
| 1126F |
|
290 |
250 |
$0.00 |
| 96156 |
|
346 |
345 |
$0.00 |
| 3079F |
|
222 |
214 |
$0.00 |
| 3008F |
|
626 |
619 |
$0.00 |
| 3044F |
|
13 |
12 |
$0.00 |
| 90686 |
|
268 |
267 |
$0.00 |
| 3074F |
|
353 |
339 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
25 |
25 |
$0.00 |
| 1160F |
|
1,022 |
963 |
$0.00 |
| 3077F |
|
297 |
295 |
$0.00 |
| 1159F |
|
982 |
941 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$0.00 |
| 3078F |
|
617 |
582 |
$0.00 |
| 99397 |
|
30 |
29 |
$0.00 |