| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,955 |
2,827 |
$126K |
| 81025 |
|
762 |
556 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
15 |
$978.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
83 |
$902.31 |
| 99457 |
|
174 |
164 |
$292.00 |
| 80305 |
|
16 |
14 |
$141.38 |
| H0038 |
Self-help/peer services, per 15 minutes |
48 |
31 |
$112.50 |
| 81003 |
|
103 |
65 |
$87.63 |
| 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) |
250 |
237 |
$60.15 |
| 99458 |
|
18 |
17 |
$6.45 |
| 1159F |
|
2,835 |
2,094 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
48 |
31 |
$0.00 |
| 1160F |
|
570 |
380 |
$0.00 |
| 3078F |
|
1,094 |
857 |
$0.00 |
| 3079F |
|
719 |
554 |
$0.00 |
| 3074F |
|
1,453 |
1,099 |
$0.00 |
| 3044F |
|
291 |
258 |
$0.00 |
| 3075F |
|
382 |
307 |
$0.00 |