| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,952 |
15,370 |
$1.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,031 |
8,495 |
$677K |
| 99215 |
Prolong outpt/office vis |
2,339 |
2,064 |
$302K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,393 |
1,297 |
$173K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
911 |
842 |
$102K |
| 94760 |
|
8,676 |
7,401 |
$21K |
| 94200 |
|
954 |
803 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
145 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
830 |
746 |
$8K |
| 99443 |
|
179 |
170 |
$8K |
| 90674 |
|
399 |
349 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
171 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
41 |
$7K |
| 99442 |
|
299 |
242 |
$6K |
| 96127 |
|
1,467 |
1,363 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
512 |
475 |
$5K |
| 99205 |
Prolong outpt/office vis |
27 |
24 |
$5K |
| 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) |
115 |
105 |
$4K |
| 94150 |
|
259 |
228 |
$3K |
| 99385 |
|
26 |
24 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
184 |
$3K |
| 90756 |
|
129 |
121 |
$3K |
| 93000 |
|
161 |
152 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,161 |
1,062 |
$3K |
| 99497 |
|
796 |
724 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
362 |
306 |
$2K |
| 91320 |
|
28 |
27 |
$2K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
433 |
387 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
85 |
$1K |
| 90653 |
|
23 |
23 |
$1K |
| 90686 |
|
45 |
43 |
$866.76 |
| 90688 |
|
48 |
46 |
$856.13 |
| 90656 |
|
44 |
43 |
$849.35 |
| 90480 |
|
30 |
29 |
$750.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
15 |
$369.92 |
| 99441 |
|
16 |
14 |
$245.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
277 |
241 |
$203.90 |
| 99490 |
Ccm add 20min |
352 |
351 |
$134.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$93.12 |
| 3075F |
|
229 |
217 |
$80.04 |
| 96116 |
|
16 |
15 |
$71.19 |
| 3074F |
|
737 |
661 |
$40.35 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
118 |
114 |
$23.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
467 |
418 |
$19.34 |
| 90662 |
|
33 |
29 |
$16.75 |
| 3078F |
|
594 |
547 |
$0.30 |
| 3079F |
|
303 |
277 |
$0.12 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 3077F |
|
67 |
56 |
$0.00 |