| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
246 |
$17K |
| 99215 |
Prolong outpt/office vis |
83 |
69 |
$7K |
| 99205 |
Prolong outpt/office vis |
34 |
32 |
$5K |
| 80305 |
|
199 |
116 |
$2K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
67 |
58 |
$893.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
29 |
$550.86 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
81 |
53 |
$545.00 |
| 99406 |
|
48 |
27 |
$313.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
12 |
$166.10 |
| 51798 |
|
32 |
25 |
$130.91 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
416 |
287 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,141 |
868 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
27 |
$0.00 |
| G8867 |
Pneumococcal vaccine not administered or previously received, reason not given |
72 |
49 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,013 |
1,494 |
$0.00 |
| 1090F |
|
41 |
35 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
197 |
150 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
236 |
182 |
$0.00 |
| G8865 |
Documentation of medical reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient allergic reaction, potential adverse drug reaction) |
139 |
66 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |