| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,705 |
10,529 |
$828K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,082 |
2,272 |
$137K |
| 99199 |
Unlisted special service, procedure or report |
24,654 |
16,611 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
275 |
211 |
$24K |
| 99490 |
Ccm add 20min |
1,378 |
1,350 |
$14K |
| 99215 |
Prolong outpt/office vis |
203 |
166 |
$13K |
| 81002 |
|
4,655 |
3,689 |
$7K |
| 96161 |
|
1,123 |
791 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
80 |
$2K |
| 99408 |
|
89 |
59 |
$2K |
| 80305 |
|
176 |
108 |
$2K |
| 0011A |
|
33 |
30 |
$1K |
| 99497 |
|
728 |
655 |
$1K |
| 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) |
518 |
407 |
$1K |
| 81025 |
|
352 |
156 |
$948.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
89 |
$891.39 |
| 94060 |
|
29 |
22 |
$829.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
76 |
$752.53 |
| 93000 |
|
45 |
39 |
$424.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
84 |
$407.15 |
| 92551 |
|
218 |
170 |
$104.26 |
| 90658 |
|
83 |
68 |
$35.61 |
| 99173 |
|
198 |
156 |
$17.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$2.24 |
| 1036F |
|
3,042 |
2,210 |
$0.00 |
| 3008F |
|
4,561 |
3,400 |
$0.00 |
| 1035F |
|
124 |
97 |
$0.00 |
| 1125F |
|
1,299 |
1,060 |
$0.00 |
| 3075F |
|
1,281 |
1,054 |
$0.00 |
| 3079F |
|
1,842 |
1,491 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
560 |
515 |
$0.00 |
| 1034F |
|
1,788 |
1,279 |
$0.00 |
| 3074F |
|
2,563 |
1,998 |
$0.00 |
| 1126F |
|
1,299 |
1,011 |
$0.00 |
| 3080F |
|
590 |
494 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
517 |
481 |
$0.00 |
| 99443 |
|
174 |
51 |
$0.00 |
| 91301 |
|
31 |
29 |
$0.00 |
| 3288F |
|
118 |
110 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,078 |
950 |
$0.00 |
| 3725F |
|
739 |
616 |
$0.00 |
| 3078F |
|
2,045 |
1,622 |
$0.00 |
| 1160F |
|
3,245 |
2,325 |
$0.00 |
| 1100F |
|
695 |
619 |
$0.00 |
| 3077F |
|
634 |
539 |
$0.00 |
| 99442 |
|
45 |
14 |
$0.00 |