| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
182,015 |
65,426 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,873 |
7,457 |
$507K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,500 |
5,380 |
$298K |
| 90834 |
Psychotherapy, 45 minutes with patient |
700 |
478 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
474 |
382 |
$7K |
| 90686 |
|
322 |
271 |
$2K |
| 99441 |
|
34 |
25 |
$795.39 |
| 99421 |
|
28 |
14 |
$374.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$186.26 |
| 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) |
39 |
38 |
$111.97 |
| 81003 |
|
16 |
14 |
$30.73 |
| 3074F |
|
283 |
272 |
$0.00 |
| 3044F |
|
93 |
87 |
$0.00 |
| 3079F |
|
46 |
41 |
$0.00 |
| 1160F |
|
573 |
538 |
$0.00 |
| 3078F |
|
280 |
269 |
$0.00 |