| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,325 |
2,678 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
908 |
747 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
387 |
326 |
$21K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
257 |
226 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
15 |
$1K |
| 99406 |
|
338 |
291 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$690.22 |
| 90686 |
|
72 |
63 |
$643.45 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
13 |
$532.46 |
| 4000F |
|
129 |
124 |
$300.00 |
| 1000F |
|
114 |
111 |
$275.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
53 |
$270.22 |
| 90688 |
|
20 |
17 |
$257.94 |
| 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) |
26 |
23 |
$180.41 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
98 |
$162.67 |
| 99422 |
|
17 |
13 |
$109.47 |
| G9276 |
Documentation that patient is a current tobacco user |
114 |
112 |
$0.00 |