| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,296 |
3,279 |
$207K |
| 99215 |
Prolong outpt/office vis |
1,064 |
887 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
278 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
86 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
136 |
95 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
85 |
$4K |
| 99490 |
Ccm add 20min |
271 |
232 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
244 |
206 |
$2K |
| 90756 |
|
48 |
43 |
$604.33 |
| 90688 |
|
57 |
46 |
$474.61 |
| 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) |
376 |
320 |
$440.75 |
| 96127 |
|
104 |
80 |
$209.75 |
| 3074F |
|
443 |
342 |
$0.00 |
| 3079F |
|
49 |
39 |
$0.00 |
| 99072 |
|
295 |
266 |
$0.00 |
| 3078F |
|
142 |
118 |
$0.00 |