| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,102 |
8,675 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,341 |
5,489 |
$1.23M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
684 |
628 |
$221K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
401 |
401 |
$110K |
| 96127 |
|
862 |
845 |
$99K |
| 99215 |
Prolong outpt/office vis |
211 |
204 |
$91K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
172 |
171 |
$55K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,694 |
1,484 |
$35K |
| 90686 |
|
354 |
354 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
520 |
515 |
$12K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
169 |
164 |
$384.80 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
131 |
126 |
$17.95 |
| 99406 |
|
13 |
13 |
$3.10 |
| 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) |
80 |
80 |
$0.00 |
| 99442 |
|
88 |
84 |
$0.00 |