| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,262 |
2,878 |
$134K |
| 99442 |
|
1,997 |
1,906 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,746 |
1,622 |
$65K |
| 99487 |
Ccm add 20min |
476 |
476 |
$15K |
| 99490 |
Ccm add 20min |
1,027 |
1,027 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
56 |
56 |
$4K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
281 |
259 |
$2K |
| 90756 |
|
64 |
64 |
$1K |
| 99441 |
|
32 |
32 |
$585.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$529.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
21 |
$174.47 |
| 93000 |
|
13 |
13 |
$101.51 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
63 |
$67.02 |
| 99443 |
|
30 |
30 |
$49.94 |
| 3078F |
|
340 |
318 |
$22.12 |
| 90658 |
|
12 |
12 |
$21.86 |
| 3074F |
|
264 |
254 |
$19.08 |
| 3725F |
|
28 |
28 |
$0.00 |
| 1160F |
|
39 |
39 |
$0.00 |
| 3077F |
|
72 |
70 |
$0.00 |
| 99497 |
|
25 |
25 |
$0.00 |
| 3044F |
|
79 |
78 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |
| 3075F |
|
31 |
30 |
$0.00 |
| 1170F |
|
43 |
43 |
$0.00 |
| 3079F |
|
46 |
46 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |