| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95715 |
|
63 |
24 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
578 |
$46K |
| 95819 |
|
75 |
75 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
101 |
101 |
$14K |
| 95720 |
|
63 |
24 |
$12K |
| 95912 |
|
34 |
27 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
85 |
$7K |
| 99483 |
Prolong outpt/office vis |
24 |
24 |
$6K |
| 95813 |
|
25 |
25 |
$6K |
| 95938 |
|
16 |
16 |
$5K |
| 95886 |
|
34 |
27 |
$5K |
| 95922 |
|
56 |
56 |
$4K |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
87 |
86 |
$4K |
| 93922 |
|
56 |
56 |
$4K |
| 95923 |
|
58 |
58 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
35 |
$2K |
| 99490 |
Ccm add 20min |
488 |
468 |
$2K |
| 96132 |
|
71 |
71 |
$2K |
| 96138 |
|
69 |
69 |
$2K |
| G9920 |
Screening performed and negative |
41 |
40 |
$376.50 |
| 3085F |
|
19 |
19 |
$0.00 |