| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,065 |
3,298 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,403 |
2,538 |
$104K |
| 99215 |
Prolong outpt/office vis |
624 |
524 |
$57K |
| 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) |
366 |
340 |
$3K |
| 99205 |
Prolong outpt/office vis |
17 |
12 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
35 |
$480.08 |
| 99397 |
|
24 |
16 |
$319.35 |
| 99490 |
Ccm add 20min |
74 |
55 |
$128.77 |
| 90756 |
|
32 |
21 |
$61.42 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
55 |
$45.44 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
38 |
$37.22 |
| 82962 |
|
18 |
16 |
$31.83 |
| G0008 |
Administration of influenza virus vaccine |
56 |
38 |
$21.60 |
| 90674 |
|
24 |
18 |
$20.24 |