| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,398 |
5,125 |
$366K |
| 93922 |
|
208 |
198 |
$29K |
| 95923 |
|
559 |
508 |
$24K |
| 93923 |
|
342 |
304 |
$19K |
| 95921 |
|
562 |
509 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
486 |
337 |
$12K |
| 99442 |
|
221 |
201 |
$7K |
| 96132 |
|
100 |
73 |
$4K |
| 93040 |
|
558 |
508 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 99458 |
|
689 |
584 |
$2K |
| 96130 |
|
19 |
19 |
$2K |
| 95957 |
|
12 |
12 |
$2K |
| 95816 |
|
12 |
12 |
$2K |
| 96112 |
|
19 |
19 |
$2K |
| 94761 |
|
741 |
642 |
$1K |
| 99443 |
|
29 |
27 |
$1K |
| 96136 |
|
68 |
61 |
$1K |
| 99457 |
|
684 |
588 |
$1K |
| 99490 |
Ccm add 20min |
528 |
379 |
$1K |
| 96116 |
|
19 |
19 |
$1K |
| 99454 |
|
384 |
347 |
$975.21 |
| 93000 |
|
163 |
111 |
$921.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$537.84 |
| 96137 |
|
12 |
12 |
$529.68 |
| 92588 |
|
12 |
12 |
$490.80 |
| 99439 |
|
226 |
146 |
$302.05 |
| 90901 |
|
45 |
12 |
$153.17 |
| 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) |
18 |
13 |
$41.18 |
| 96138 |
|
19 |
19 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$0.00 |