| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,285 |
2,196 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
772 |
637 |
$13K |
| 90756 |
|
223 |
219 |
$2K |
| 99091 |
|
14 |
14 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
379 |
290 |
$617.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$543.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
228 |
220 |
$488.57 |
| 93000 |
|
89 |
85 |
$452.84 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$85.01 |
| 82044 |
|
45 |
42 |
$74.33 |
| 81003 |
|
97 |
92 |
$47.28 |
| G0008 |
Administration of influenza virus vaccine |
334 |
329 |
$0.00 |
| 1125F |
|
51 |
50 |
$0.00 |
| 3044F |
|
68 |
67 |
$0.00 |
| 1170F |
|
74 |
70 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| 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) |
41 |
40 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |
| 1090F |
|
14 |
12 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 90653 |
|
50 |
48 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |