| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
516 |
515 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
778 |
763 |
$25K |
| 99051 |
|
291 |
289 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
114 |
114 |
$12K |
| 99490 |
Ccm add 20min |
525 |
525 |
$10K |
| 99457 |
|
184 |
184 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
106 |
106 |
$448.23 |
| 99454 |
|
12 |
12 |
$126.12 |
| 99453 |
|
13 |
13 |
$64.60 |
| 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) |
13 |
13 |
$42.25 |
| 99497 |
|
53 |
53 |
$17.41 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
69 |
69 |
$0.00 |