| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,828 |
2,212 |
$198K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,928 |
2,093 |
$149K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
967 |
787 |
$105K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
238 |
112 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
101 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
488 |
339 |
$4K |
| 90686 |
|
359 |
252 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
59 |
32 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
58 |
$409.09 |
| 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) |
54 |
44 |
$117.21 |
| 3079F |
|
343 |
298 |
$0.00 |
| 3080F |
|
41 |
26 |
$0.00 |
| 3074F |
|
390 |
326 |
$0.00 |
| 3008F |
|
671 |
569 |
$0.00 |
| 1220F |
|
241 |
203 |
$0.00 |
| 3044F |
|
164 |
117 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
532 |
318 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |
| 3075F |
|
54 |
45 |
$0.00 |
| 1126F |
|
16 |
15 |
$0.00 |
| 3046F |
|
281 |
198 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
431 |
261 |
$0.00 |
| 3077F |
|
188 |
158 |
$0.00 |
| 3078F |
|
309 |
261 |
$0.00 |
| 3051F |
|
24 |
12 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
114 |
50 |
$0.00 |