| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,839 |
4,684 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,044 |
3,859 |
$115K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
227 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
55 |
55 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
37 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
21 |
18 |
$1K |
| 92015 |
Determination of refractive state |
65 |
65 |
$837.20 |
| 90688 |
|
63 |
61 |
$638.60 |
| 90686 |
|
44 |
44 |
$630.75 |
| 90674 |
|
31 |
31 |
$575.30 |
| 99442 |
|
34 |
30 |
$233.20 |
| 99051 |
|
14 |
14 |
$231.84 |
| 96127 |
|
1,152 |
1,127 |
$220.80 |
| G0008 |
Administration of influenza virus vaccine |
106 |
101 |
$188.85 |
| 90662 |
|
15 |
15 |
$182.94 |
| 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) |
41 |
40 |
$178.94 |
| 99441 |
|
16 |
15 |
$27.12 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3008F |
|
42 |
41 |
$0.00 |