| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,778 |
14,860 |
$999K |
| 99199 |
Unlisted special service, procedure or report |
65,449 |
38,254 |
$405K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,773 |
3,888 |
$194K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
223 |
198 |
$24K |
| 99406 |
|
1,334 |
1,153 |
$11K |
| 90677 |
|
44 |
40 |
$5K |
| 99408 |
|
192 |
167 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
415 |
332 |
$5K |
| 90686 |
|
563 |
442 |
$4K |
| 99443 |
|
50 |
36 |
$2K |
| 90674 |
|
129 |
108 |
$2K |
| 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) |
331 |
315 |
$760.57 |
| 80305 |
|
70 |
56 |
$751.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
16 |
$651.21 |
| 99401 |
|
93 |
80 |
$537.01 |
| 99442 |
|
21 |
14 |
$371.77 |
| 93000 |
|
16 |
16 |
$190.17 |
| 99072 |
|
1,509 |
1,308 |
$9.86 |
| 3008F |
|
6,938 |
5,765 |
$3.47 |
| 3048F |
|
1,400 |
1,195 |
$0.00 |
| 3075F |
|
122 |
107 |
$0.00 |
| 3074F |
|
1,067 |
924 |
$0.00 |
| 4010F |
|
320 |
252 |
$0.00 |
| 3079F |
|
701 |
614 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
95 |
92 |
$0.00 |
| 3080F |
|
302 |
250 |
$0.00 |
| 3049F |
|
140 |
108 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
14 |
$0.00 |
| 3078F |
|
1,197 |
1,052 |
$0.00 |
| 3077F |
|
866 |
755 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
25 |
25 |
$0.00 |
| 3050F |
|
103 |
79 |
$0.00 |