| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,093 |
14,824 |
$795K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,689 |
5,119 |
$353K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,586 |
1,526 |
$134K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
728 |
698 |
$61K |
| 99397 |
|
124 |
120 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
311 |
233 |
$6K |
| 90674 |
|
165 |
110 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
40 |
$4K |
| 99490 |
Ccm add 20min |
250 |
250 |
$3K |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
18 |
16 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
67 |
$877.40 |
| 93000 |
|
48 |
41 |
$807.38 |
| G0406 |
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
24 |
21 |
$799.63 |
| 81002 |
|
83 |
75 |
$205.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
142 |
97 |
$150.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
96 |
$105.00 |
| 99442 |
|
13 |
13 |
$60.52 |
| 99454 |
|
41 |
41 |
$52.14 |
| 99457 |
|
27 |
27 |
$43.61 |
| 99453 |
|
14 |
14 |
$0.00 |