| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,676 |
12,308 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
993 |
986 |
$19K |
| 90756 |
|
339 |
331 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
72 |
72 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
123 |
$2K |
| 90662 |
|
31 |
31 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
237 |
237 |
$914.21 |
| 90688 |
|
91 |
87 |
$828.36 |
| 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) |
191 |
171 |
$620.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
294 |
$600.00 |
| G0008 |
Administration of influenza virus vaccine |
98 |
98 |
$211.82 |
| 90694 |
|
16 |
16 |
$75.38 |
| 36410 |
|
12 |
12 |
$43.23 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
409 |
409 |
$35.00 |
| 99397 |
|
67 |
67 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
57 |
57 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
81 |
$0.00 |
| 3078F |
|
165 |
163 |
$0.00 |
| 90653 |
|
37 |
37 |
$0.00 |
| 3008F |
|
113 |
113 |
$0.00 |
| 3079F |
|
28 |
28 |
$0.00 |
| 3074F |
|
73 |
73 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
119 |
119 |
$0.00 |
| 3075F |
|
54 |
53 |
$0.00 |