| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,483 |
5,721 |
$225K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,988 |
3,107 |
$90K |
| 99457 |
|
2,211 |
1,964 |
$39K |
| 99454 |
|
1,261 |
1,012 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,077 |
877 |
$16K |
| 99490 |
Ccm add 20min |
2,129 |
1,696 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
162 |
137 |
$7K |
| 99441 |
|
548 |
473 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
439 |
376 |
$3K |
| 96127 |
|
704 |
561 |
$3K |
| 80305 |
|
545 |
430 |
$2K |
| 1160F |
|
3,413 |
2,733 |
$1K |
| 1159F |
|
3,892 |
3,136 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
42 |
$1K |
| 3078F |
|
4,692 |
3,931 |
$970.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$953.33 |
| 99215 |
Prolong outpt/office vis |
20 |
13 |
$950.13 |
| 3074F |
|
5,180 |
4,355 |
$890.02 |
| 99453 |
|
147 |
118 |
$840.07 |
| 1126F |
|
3,876 |
3,297 |
$810.00 |
| 81002 |
|
563 |
453 |
$552.29 |
| 1125F |
|
4,699 |
3,879 |
$540.22 |
| 3079F |
|
2,130 |
1,786 |
$540.00 |
| 90674 |
|
32 |
25 |
$436.62 |
| 99406 |
|
100 |
77 |
$350.76 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
88 |
85 |
$301.62 |
| 3008F |
|
5,071 |
4,160 |
$300.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
25 |
$266.05 |
| 82962 |
|
144 |
115 |
$217.41 |
| 3077F |
|
729 |
567 |
$210.00 |
| 3075F |
|
970 |
820 |
$160.00 |
| 3080F |
|
205 |
170 |
$80.00 |
| 3044F |
|
165 |
140 |
$0.02 |
| 3288F |
|
108 |
90 |
$0.00 |
| 96160 |
|
64 |
58 |
$0.00 |
| 1170F |
|
201 |
159 |
$0.00 |
| 96161 |
|
40 |
24 |
$0.00 |