| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,893 |
4,803 |
$465K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,535 |
2,980 |
$211K |
| 99401 |
|
2,243 |
1,909 |
$50K |
| 99443 |
|
490 |
453 |
$44K |
| 99402 |
|
1,392 |
1,164 |
$42K |
| 99490 |
Ccm add 20min |
855 |
855 |
$37K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
737 |
569 |
$30K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,184 |
1,797 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
203 |
203 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
115 |
115 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
89 |
$6K |
| 99403 |
|
105 |
96 |
$5K |
| 93000 |
|
423 |
400 |
$5K |
| 99215 |
Prolong outpt/office vis |
31 |
27 |
$4K |
| 96160 |
|
1,037 |
1,032 |
$2K |
| 99385 |
|
25 |
25 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
31 |
$1K |
| 81002 |
|
662 |
598 |
$633.95 |
| 81025 |
|
51 |
41 |
$192.46 |
| 36415 |
Collection of venous blood by venipuncture |
590 |
551 |
$104.99 |
| 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) |
119 |
106 |
$101.16 |
| 3077F |
|
15 |
15 |
$31.80 |
| 3080F |
|
13 |
13 |
$27.56 |
| 3079F |
|
12 |
12 |
$25.44 |
| 99000 |
|
106 |
103 |
$0.00 |
| 0001F |
|
85 |
77 |
$0.00 |
| 1159F |
|
122 |
103 |
$0.00 |
| 1160F |
|
98 |
87 |
$0.00 |
| 91300 |
|
15 |
14 |
$0.00 |