| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,539 |
9,090 |
$444K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,244 |
4,003 |
$130K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
267 |
264 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
224 |
217 |
$15K |
| 99205 |
Prolong outpt/office vis |
74 |
73 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
294 |
$8K |
| 99215 |
Prolong outpt/office vis |
72 |
66 |
$7K |
| 99397 |
|
102 |
98 |
$7K |
| 93923 |
|
16 |
16 |
$1K |
| 90658 |
|
35 |
33 |
$776.04 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$640.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
65 |
$613.60 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
15 |
$578.00 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$509.86 |
| 90688 |
|
12 |
12 |
$374.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
92 |
92 |
$0.00 |