| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,586 |
4,348 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,947 |
2,809 |
$269K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
425 |
425 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
243 |
242 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$6K |
| 90686 |
|
141 |
141 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
359 |
356 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 99406 |
|
88 |
85 |
$1K |
| 99442 |
|
13 |
13 |
$773.29 |
| 96127 |
|
215 |
213 |
$762.62 |
| 3074F |
|
712 |
693 |
$380.00 |
| 90688 |
|
12 |
12 |
$221.47 |
| 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) |
15 |
15 |
$151.00 |
| 3079F |
|
122 |
117 |
$140.00 |
| 3078F |
|
263 |
257 |
$60.00 |
| 99080 |
|
4,665 |
3,993 |
$0.00 |
| 3008F |
|
1,771 |
1,684 |
$0.00 |
| 99000 |
|
28 |
26 |
$0.00 |