| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,403 |
6,632 |
$306K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,636 |
1,785 |
$100K |
| 99490 |
Ccm add 20min |
9,695 |
7,291 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
107 |
$9K |
| 3074F |
|
821 |
619 |
$4K |
| 99205 |
Prolong outpt/office vis |
29 |
26 |
$3K |
| 0001A |
|
137 |
93 |
$3K |
| 3078F |
|
775 |
589 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 0002A |
|
86 |
65 |
$2K |
| 3079F |
|
287 |
238 |
$2K |
| 0003A |
|
49 |
44 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
14 |
$1K |
| 90674 |
|
113 |
94 |
$952.08 |
| 99336 |
|
41 |
25 |
$704.71 |
| 99397 |
|
15 |
13 |
$687.82 |
| 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) |
667 |
407 |
$646.08 |
| 99483 |
Prolong outpt/office vis |
129 |
70 |
$638.26 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
151 |
93 |
$588.02 |
| 3077F |
|
142 |
122 |
$525.07 |
| 3075F |
|
144 |
122 |
$525.04 |
| 0124A |
|
19 |
16 |
$245.26 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
79 |
58 |
$232.68 |
| 90656 |
|
94 |
67 |
$207.23 |
| 90686 |
|
119 |
75 |
$181.62 |
| 3044F |
|
22 |
17 |
$135.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
43 |
36 |
$106.60 |
| 3080F |
|
15 |
13 |
$75.00 |
| 99454 |
|
67 |
40 |
$60.74 |
| G0008 |
Administration of influenza virus vaccine |
148 |
90 |
$53.15 |
| 1159F |
|
804 |
597 |
$50.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$34.54 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
42 |
31 |
$12.90 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
41 |
30 |
$12.90 |
| 91300 |
|
320 |
181 |
$1.41 |
| 91312 |
|
21 |
16 |
$0.05 |
| 1160F |
|
26 |
19 |
$0.00 |
| 1124F |
|
20 |
15 |
$0.00 |
| 3048F |
|
15 |
12 |
$0.00 |
| 1170F |
|
48 |
35 |
$0.00 |
| 1125F |
|
19 |
13 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
23 |
22 |
$0.00 |