| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,564 |
2,380 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
756 |
716 |
$24K |
| 76536 |
|
103 |
102 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
158 |
41 |
$3K |
| 95250 |
|
14 |
14 |
$2K |
| 99490 |
Ccm add 20min |
169 |
169 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$399.59 |
| 95251 |
|
12 |
12 |
$329.76 |
| 76981 |
|
13 |
12 |
$154.24 |
| 1126F |
|
101 |
100 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 1160F |
|
26 |
26 |
$0.00 |
| 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) |
51 |
45 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |