| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,118 |
3,293 |
$223K |
| 99439 |
|
779 |
761 |
$31K |
| 99490 |
Ccm add 20min |
1,232 |
1,112 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
370 |
297 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
715 |
528 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
231 |
202 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
36 |
$3K |
| 99205 |
Prolong outpt/office vis |
31 |
18 |
$2K |
| 93000 |
|
188 |
171 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
161 |
140 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
611 |
544 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
70 |
$916.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
31 |
$866.64 |
| 99406 |
|
84 |
63 |
$737.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
20 |
$461.87 |
| 99215 |
Prolong outpt/office vis |
26 |
12 |
$374.12 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
14 |
$232.25 |
| 99487 |
Ccm add 20min |
43 |
42 |
$228.70 |
| 99497 |
|
62 |
52 |
$194.28 |
| 99452 |
|
314 |
294 |
$186.26 |
| 90674 |
|
60 |
24 |
$156.41 |
| 99491 |
Ccm add 20min |
57 |
47 |
$119.20 |
| 99457 |
|
15 |
14 |
$113.76 |
| 99489 |
Ccm add 20min |
13 |
13 |
$109.58 |
| 94760 |
|
50 |
45 |
$75.25 |
| 36000 |
|
19 |
15 |
$33.44 |
| 81003 |
|
259 |
121 |
$26.99 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
15 |
$14.09 |
| 3074F |
|
434 |
365 |
$0.00 |
| 2010F |
|
427 |
354 |
$0.00 |
| 91301 |
|
15 |
14 |
$0.00 |
| 3079F |
|
54 |
45 |
$0.00 |
| 99355 |
|
31 |
17 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
24 |
14 |
$0.00 |
| 3078F |
|
350 |
297 |
$0.00 |
| 1160F |
|
559 |
471 |
$0.00 |
| 1159F |
|
478 |
407 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
30 |
29 |
$0.00 |
| 99072 |
|
28 |
16 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
13 |
13 |
$0.00 |