| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,727 |
14,022 |
$397K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,432 |
6,108 |
$120K |
| 99454 |
|
3,279 |
2,860 |
$27K |
| 99457 |
|
4,416 |
3,818 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
370 |
310 |
$10K |
| 99490 |
Ccm add 20min |
7,255 |
6,252 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
215 |
163 |
$6K |
| 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) |
5,053 |
4,080 |
$5K |
| 99397 |
|
188 |
165 |
$4K |
| 99442 |
|
1,029 |
879 |
$4K |
| 93000 |
|
300 |
183 |
$3K |
| 90715 |
|
112 |
72 |
$3K |
| 95800 |
|
50 |
46 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
81 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
611 |
487 |
$3K |
| 93923 |
|
142 |
98 |
$2K |
| 90674 |
|
79 |
70 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
57 |
$1K |
| 99051 |
|
1,274 |
1,044 |
$1K |
| 99439 |
|
540 |
478 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
71 |
$795.01 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
21 |
$547.00 |
| 81025 |
|
447 |
337 |
$422.95 |
| 90688 |
|
120 |
103 |
$387.00 |
| 99458 |
|
194 |
164 |
$271.69 |
| 90694 |
|
73 |
68 |
$265.43 |
| 81002 |
|
730 |
579 |
$248.38 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$197.62 |
| 99406 |
|
234 |
188 |
$154.98 |
| 90732 |
|
29 |
14 |
$133.47 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
391 |
339 |
$70.14 |
| 99453 |
|
29 |
29 |
$44.55 |
| 99441 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |