| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,095 |
987 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
630 |
562 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
390 |
355 |
$9K |
| 96127 |
|
299 |
281 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$996.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
73 |
$846.82 |
| 90686 |
|
46 |
38 |
$746.62 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$725.98 |
| 90656 |
|
22 |
22 |
$316.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$162.25 |
| 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) |
93 |
87 |
$11.31 |
| 3074F |
|
46 |
43 |
$0.03 |
| 3078F |
|
16 |
16 |
$0.01 |
| 3008F |
|
142 |
131 |
$0.00 |
| 3079F |
|
14 |
13 |
$0.00 |
| 1159F |
|
187 |
170 |
$0.00 |
| 1160F |
|
33 |
32 |
$0.00 |
| 3077F |
|
85 |
75 |
$0.00 |