| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
765 |
$87K |
| 95819 |
|
152 |
150 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
358 |
355 |
$52K |
| 95715 |
|
50 |
26 |
$31K |
| 99490 |
Ccm add 20min |
554 |
536 |
$26K |
| 95938 |
|
73 |
58 |
$19K |
| 95886 |
|
141 |
108 |
$18K |
| 95912 |
|
88 |
73 |
$16K |
| 95813 |
|
48 |
47 |
$14K |
| 95923 |
|
130 |
124 |
$12K |
| 95720 |
|
50 |
26 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
121 |
$8K |
| 93886 |
|
53 |
53 |
$8K |
| 99483 |
Prolong outpt/office vis |
29 |
29 |
$7K |
| 93880 |
|
65 |
65 |
$7K |
| 95922 |
|
89 |
89 |
$7K |
| 92540 |
|
69 |
67 |
$6K |
| 93922 |
|
73 |
73 |
$6K |
| 95913 |
|
24 |
19 |
$6K |
| 95921 |
|
97 |
88 |
$6K |
| 95816 |
|
14 |
14 |
$4K |
| 96132 |
|
97 |
93 |
$3K |
| 93890 |
|
15 |
15 |
$3K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
88 |
84 |
$3K |
| 95700 |
|
13 |
13 |
$3K |
| 93892 |
|
15 |
15 |
$3K |
| 95925 |
|
18 |
16 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
33 |
$2K |
| 96138 |
|
78 |
76 |
$1K |
| 92653 |
|
13 |
13 |
$860.59 |
| 95930 |
|
25 |
24 |
$826.98 |
| 96127 |
|
13 |
13 |
$60.32 |
| 3085F |
|
75 |
67 |
$20.00 |
| G9920 |
Screening performed and negative |
22 |
22 |
$0.00 |