| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,140 |
943 |
$39K |
| 99442 |
|
21 |
14 |
$84.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
50 |
$60.00 |
| 3078F |
|
323 |
298 |
$6.00 |
| 3074F |
|
207 |
193 |
$3.00 |
| 3077F |
|
27 |
27 |
$1.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
102 |
78 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
31 |
25 |
$0.00 |
| 1125F |
|
17 |
12 |
$0.00 |
| 1170F |
|
31 |
25 |
$0.00 |
| 3008F |
|
26 |
17 |
$0.00 |
| 1158F |
|
43 |
37 |
$0.00 |
| 1159F |
|
77 |
66 |
$0.00 |
| 96160 |
|
106 |
81 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
79 |
$0.00 |
| 1160F |
|
77 |
66 |
$0.00 |