| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,412 |
11,459 |
$1.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,625 |
3,853 |
$341K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
613 |
531 |
$86K |
| 96127 |
|
5,253 |
4,737 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
109 |
99 |
$11K |
| 3074F |
|
2,443 |
2,149 |
$11K |
| 93000 |
|
633 |
590 |
$9K |
| 93229 |
|
13 |
13 |
$8K |
| 3078F |
|
2,492 |
2,187 |
$7K |
| 90756 |
|
304 |
271 |
$7K |
| 3075F |
|
1,058 |
956 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
302 |
$4K |
| 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) |
268 |
239 |
$4K |
| 3079F |
|
1,184 |
1,074 |
$3K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
2,493 |
2,230 |
$3K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
72 |
56 |
$979.39 |
| 90661 |
|
75 |
71 |
$805.28 |
| 90688 |
|
68 |
63 |
$769.66 |
| 3077F |
|
216 |
197 |
$701.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
27 |
$537.78 |
| 93228 |
|
13 |
13 |
$262.86 |
| 3080F |
|
95 |
87 |
$250.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
59 |
43 |
$233.05 |
| 1111F |
|
88 |
80 |
$78.00 |
| 3017F |
|
65 |
62 |
$12.00 |
| 3014F |
|
36 |
35 |
$10.00 |
| 99497 |
|
72 |
56 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
40 |
$0.00 |