| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,150 |
9,408 |
$484K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,599 |
1,382 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
71 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
101 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
67 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,016 |
729 |
$3K |
| 99443 |
|
217 |
141 |
$2K |
| 99442 |
|
109 |
83 |
$918.23 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
15 |
$819.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
24 |
$546.26 |
| 81002 |
|
253 |
215 |
$396.24 |
| 99490 |
Ccm add 20min |
92 |
81 |
$395.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$352.80 |
| 82947 |
|
86 |
75 |
$238.51 |
| 99406 |
|
166 |
108 |
$205.68 |
| 80305 |
|
30 |
22 |
$123.56 |
| 81000 |
|
20 |
19 |
$53.72 |
| 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) |
606 |
435 |
$28.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
73 |
44 |
$8.55 |
| 3077F |
|
1,693 |
1,276 |
$1.08 |
| 3080F |
|
1,504 |
1,165 |
$0.98 |
| 3074F |
|
1,846 |
1,469 |
$0.93 |
| 3078F |
|
1,599 |
1,250 |
$0.80 |
| 3079F |
|
1,378 |
1,131 |
$0.66 |
| 3075F |
|
922 |
766 |
$0.39 |
| 3008F |
|
1,975 |
1,453 |
$0.00 |
| 1126F |
|
3,052 |
2,407 |
$0.00 |
| 1125F |
|
7,058 |
5,587 |
$0.00 |
| 1036F |
|
272 |
190 |
$0.00 |
| 1159F |
|
9,207 |
7,153 |
$0.00 |
| 1160F |
|
9,064 |
7,056 |
$0.00 |
| 0521F |
|
7,848 |
5,986 |
$0.00 |