| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,266 |
1,133 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
342 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
82 |
82 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
31 |
$3K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
70 |
$1K |
| 90658 |
|
32 |
32 |
$555.40 |
| 82947 |
|
210 |
186 |
$552.80 |
| 90688 |
|
30 |
29 |
$432.19 |
| 99406 |
|
54 |
50 |
$335.28 |
| 90674 |
|
16 |
16 |
$285.66 |
| 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) |
72 |
63 |
$123.49 |
| 93000 |
|
12 |
12 |
$103.33 |
| 81003 |
|
31 |
30 |
$54.37 |
| 3075F |
|
109 |
102 |
$0.00 |
| 1036F |
|
405 |
352 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
14 |
$0.00 |
| 3074F |
|
330 |
294 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
13 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 3078F |
|
399 |
356 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
12 |
$0.00 |