| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,321 |
5,202 |
$858K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,781 |
2,378 |
$526K |
| 99215 |
Prolong outpt/office vis |
1,324 |
1,266 |
$213K |
| 96127 |
|
1,125 |
1,104 |
$107K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
366 |
366 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
157 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
116 |
$45K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,540 |
1,355 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
57 |
$13K |
| 90686 |
|
109 |
109 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
348 |
346 |
$6K |
| 99443 |
|
31 |
31 |
$2K |
| 99442 |
|
14 |
14 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
38 |
38 |
$15.53 |
| 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) |
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |