| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,897 |
10,756 |
$727K |
| 99215 |
Prolong outpt/office vis |
3,680 |
3,243 |
$281K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,602 |
2,456 |
$93K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
760 |
756 |
$83K |
| 96156 |
|
1,918 |
1,918 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
257 |
255 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
78 |
$6K |
| 99205 |
Prolong outpt/office vis |
76 |
75 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
133 |
130 |
$6K |
| 90688 |
|
350 |
350 |
$6K |
| 92551 |
|
322 |
320 |
$4K |
| 99385 |
|
26 |
26 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
273 |
$2K |
| 93000 |
|
26 |
26 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$975.85 |
| 3008F |
|
9,175 |
7,787 |
$886.86 |
| 85018 |
|
326 |
326 |
$870.85 |
| 3078F |
|
6,210 |
5,460 |
$576.90 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
13 |
13 |
$552.66 |
| 81000 |
|
78 |
77 |
$540.38 |
| 3074F |
|
6,242 |
5,429 |
$496.96 |
| 96160 |
|
44 |
44 |
$475.00 |
| 90756 |
|
14 |
14 |
$407.70 |
| 96151 |
|
54 |
53 |
$342.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
139 |
137 |
$315.98 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
81 |
$280.00 |
| 90658 |
|
29 |
29 |
$266.00 |
| 3079F |
|
2,358 |
2,197 |
$252.90 |
| 3075F |
|
1,192 |
1,141 |
$234.30 |
| 85999 |
|
121 |
118 |
$228.99 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
22 |
22 |
$197.40 |
| 81002 |
|
17 |
17 |
$164.98 |
| 99072 |
|
24 |
24 |
$120.00 |
| 3077F |
|
1,396 |
1,283 |
$78.70 |
| 3080F |
|
91 |
86 |
$28.70 |
| 3044F |
|
71 |
71 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |
| 96127 |
|
441 |
441 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |
| 1170F |
|
26 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
35 |
$0.00 |
| 1101F |
|
23 |
23 |
$0.00 |
| 1157F |
|
25 |
25 |
$0.00 |
| 1160F |
|
27 |
27 |
$0.00 |
| 1158F |
|
25 |
25 |
$0.00 |
| 1159F |
|
27 |
27 |
$0.00 |