| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,688 |
1,486 |
$42K |
| 99483 |
Prolong outpt/office vis |
45 |
45 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
145 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 90756 |
|
143 |
143 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
273 |
250 |
$2K |
| 90658 |
|
12 |
12 |
$450.96 |
| 99442 |
|
22 |
17 |
$396.00 |
| 92552 |
|
12 |
12 |
$250.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$225.00 |
| 90662 |
|
14 |
14 |
$187.02 |
| 90688 |
|
18 |
18 |
$94.05 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
39 |
39 |
$15.39 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
39 |
39 |
$12.69 |
| 3078F |
|
14 |
14 |
$0.00 |
| 99497 |
|
13 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| 1170F |
|
295 |
293 |
$0.00 |
| 3074F |
|
24 |
24 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |