| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,963 |
5,867 |
$21K |
| 96156 |
|
2,392 |
2,376 |
$21K |
| 99441 |
|
1,827 |
1,816 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,174 |
1,172 |
$9K |
| 99215 |
Prolong outpt/office vis |
570 |
559 |
$7K |
| 99442 |
|
560 |
556 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
156 |
156 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
291 |
291 |
$898.44 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
307 |
307 |
$787.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
106 |
$714.49 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
271 |
$547.06 |
| 99386 |
|
37 |
37 |
$528.80 |
| 99397 |
|
27 |
27 |
$473.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
398 |
396 |
$351.32 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$330.80 |
| 93000 |
|
84 |
84 |
$230.99 |
| 1160F |
|
6,586 |
6,510 |
$220.58 |
| 1159F |
|
5,951 |
5,884 |
$185.00 |
| 99385 |
|
25 |
25 |
$100.00 |
| 81002 |
|
182 |
181 |
$74.38 |
| 1126F |
|
2,500 |
2,491 |
$64.40 |
| 3008F |
|
2,289 |
2,265 |
$60.00 |
| 1125F |
|
1,851 |
1,836 |
$51.50 |
| 3075F |
|
564 |
564 |
$42.70 |
| 3074F |
|
4,060 |
4,022 |
$20.00 |
| 3078F |
|
3,442 |
3,418 |
$18.60 |
| 1158F |
|
3,195 |
3,179 |
$9.40 |
| 3079F |
|
1,127 |
1,120 |
$8.40 |
| 1170F |
|
2,469 |
2,462 |
$4.70 |
| 3080F |
|
204 |
204 |
$0.60 |
| 82962 |
|
36 |
35 |
$0.00 |
| 3017F |
|
101 |
101 |
$0.00 |
| 3066F |
|
70 |
70 |
$0.00 |
| 3014F |
|
64 |
64 |
$0.00 |
| 4010F |
|
139 |
139 |
$0.00 |
| 3060F |
|
53 |
53 |
$0.00 |
| 1157F |
|
192 |
191 |
$0.00 |
| 3044F |
|
38 |
38 |
$0.00 |
| 96151 |
|
37 |
37 |
$0.00 |
| 3061F |
|
16 |
16 |
$0.00 |
| 99443 |
|
21 |
21 |
$0.00 |
| 3077F |
|
31 |
31 |
$0.00 |
| 2022F |
|
27 |
27 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |