| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,756 |
5,534 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,102 |
2,947 |
$137K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,332 |
1,332 |
$112K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
158 |
158 |
$12K |
| 99454 |
|
730 |
719 |
$7K |
| 99497 |
|
150 |
145 |
$6K |
| 99457 |
|
852 |
848 |
$4K |
| 93000 |
|
389 |
387 |
$3K |
| 99439 |
|
563 |
560 |
$2K |
| 99490 |
Ccm add 20min |
694 |
691 |
$2K |
| 99458 |
|
569 |
566 |
$2K |
| 99443 |
|
54 |
52 |
$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) |
283 |
263 |
$979.73 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
62 |
62 |
$754.67 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
36 |
$716.00 |
| 99453 |
|
50 |
50 |
$148.27 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
18 |
15 |
$93.54 |
| 1123F |
|
115 |
111 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
104 |
102 |
$0.00 |