| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,302 |
3,211 |
$43K |
| 99429 |
|
297 |
297 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,764 |
5,575 |
$21K |
| 90682 |
|
598 |
593 |
$20K |
| 99233 |
Prolong inpt eval add15 m |
480 |
97 |
$11K |
| 90791 |
Psychiatric diagnostic evaluation |
1,430 |
1,421 |
$7K |
| 99454 |
|
324 |
317 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
355 |
53 |
$6K |
| 90961 |
|
70 |
70 |
$5K |
| 90662 |
|
184 |
183 |
$3K |
| 99457 |
|
324 |
317 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
337 |
337 |
$2K |
| 99453 |
|
65 |
55 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
440 |
440 |
$995.50 |
| 99385 |
|
41 |
41 |
$750.70 |
| 96160 |
|
1,541 |
1,535 |
$578.75 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
373 |
345 |
$315.00 |
| 90686 |
|
13 |
13 |
$281.88 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
192 |
191 |
$269.84 |
| 99490 |
Ccm add 20min |
28 |
28 |
$169.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
682 |
678 |
$105.71 |
| 96156 |
|
489 |
489 |
$83.46 |
| 99000 |
|
56 |
56 |
$49.02 |
| 3074F |
|
618 |
598 |
$0.00 |
| 1170F |
|
381 |
349 |
$0.00 |
| 3075F |
|
106 |
104 |
$0.00 |
| 1126F |
|
196 |
185 |
$0.00 |
| 3008F |
|
306 |
305 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
681 |
680 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
58 |
58 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
65 |
$0.00 |
| 1125F |
|
194 |
182 |
$0.00 |
| 99386 |
|
15 |
15 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 1158F |
|
84 |
84 |
$0.00 |
| 3078F |
|
847 |
817 |
$0.00 |
| 1160F |
|
345 |
312 |
$0.00 |
| 1159F |
|
359 |
326 |
$0.00 |
| 3077F |
|
64 |
63 |
$0.00 |