| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,129 |
5,092 |
$392K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,974 |
2,533 |
$148K |
| 99215 |
Prolong outpt/office vis |
772 |
548 |
$56K |
| G9001 |
Coordinated care fee, initial rate |
727 |
723 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
97 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
30 |
$938.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
38 |
$635.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
26 |
$347.30 |
| 90480 |
|
12 |
12 |
$320.00 |
| 90674 |
|
18 |
13 |
$240.50 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
40 |
$112.32 |
| 80061 |
Lipid panel |
12 |
12 |
$89.02 |
| 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) |
52 |
48 |
$0.00 |
| 90686 |
|
28 |
28 |
$0.00 |