| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,149 |
4,993 |
$298K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,438 |
3,358 |
$128K |
| 90686 |
|
642 |
632 |
$3K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$2K |
| 3074F |
|
3,543 |
3,476 |
$1K |
| 3078F |
|
2,397 |
2,354 |
$1K |
| 90715 |
|
28 |
28 |
$1K |
| 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) |
89 |
89 |
$1K |
| 3079F |
|
1,470 |
1,452 |
$870.00 |
| G0008 |
Administration of influenza virus vaccine |
87 |
82 |
$795.66 |
| 0124A |
|
13 |
12 |
$432.02 |
| 3077F |
|
286 |
275 |
$255.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$108.40 |
| 3075F |
|
174 |
173 |
$70.00 |
| 3080F |
|
28 |
25 |
$30.00 |
| 4010F |
|
63 |
62 |
$30.00 |
| 91320 |
|
127 |
117 |
$0.00 |
| 3008F |
|
633 |
611 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,350 |
1,312 |
$0.00 |
| 90656 |
|
95 |
95 |
$0.00 |
| 90677 |
|
14 |
13 |
$0.00 |