| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,427 |
12,986 |
$697K |
| 99215 |
Prolong outpt/office vis |
3,734 |
3,049 |
$230K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
484 |
465 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,314 |
1,156 |
$43K |
| 99490 |
Ccm add 20min |
8,967 |
8,555 |
$41K |
| 99497 |
|
1,257 |
1,066 |
$22K |
| 93922 |
|
308 |
281 |
$13K |
| 95251 |
|
209 |
177 |
$5K |
| 0011A |
|
163 |
161 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$4K |
| 0012A |
|
102 |
100 |
$3K |
| 0013A |
|
92 |
84 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
119 |
$2K |
| 90688 |
|
240 |
221 |
$2K |
| 90756 |
|
107 |
84 |
$1K |
| 90686 |
|
88 |
75 |
$688.37 |
| G0008 |
Administration of influenza virus vaccine |
254 |
225 |
$597.65 |
| 0031A |
|
30 |
30 |
$463.77 |
| 0134A |
|
12 |
12 |
$419.15 |
| 99397 |
|
40 |
39 |
$394.64 |
| 93000 |
|
26 |
26 |
$292.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$209.01 |
| 81002 |
|
52 |
46 |
$72.77 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
288 |
247 |
$43.88 |
| 91313 |
|
26 |
24 |
$0.02 |
| 1126F |
|
781 |
674 |
$0.00 |
| 1157F |
|
690 |
625 |
$0.00 |
| 91301 |
|
324 |
303 |
$0.00 |
| 1170F |
|
1,081 |
906 |
$0.00 |
| 1111F |
|
65 |
55 |
$0.00 |
| 1125F |
|
235 |
203 |
$0.00 |
| 3044F |
|
166 |
145 |
$0.00 |
| 91303 |
|
20 |
20 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
16 |
13 |
$0.00 |
| 0094A |
|
14 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
102 |
88 |
$0.00 |
| 1160F |
|
1,068 |
908 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
253 |
196 |
$0.00 |
| 3045F |
|
167 |
150 |
$0.00 |
| 1158F |
|
243 |
205 |
$0.00 |
| 3046F |
|
20 |
19 |
$0.00 |