| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,423 |
2,964 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,056 |
1,734 |
$112K |
| 93000 |
|
1,253 |
1,248 |
$18K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
168 |
167 |
$15K |
| 92540 |
|
168 |
168 |
$12K |
| 92537 |
|
168 |
168 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,404 |
1,399 |
$5K |
| 94010 |
|
137 |
137 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,308 |
2,225 |
$2K |
| 93970 |
|
14 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 93923 |
|
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
61 |
$959.49 |
| 90688 |
|
27 |
27 |
$495.41 |
| 90756 |
|
15 |
15 |
$381.86 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
38 |
38 |
$290.50 |
| G9275 |
Documentation that patient is a current non-tobacco user |
644 |
643 |
$0.07 |
| 3725F |
|
861 |
858 |
$0.00 |
| 92538 |
|
74 |
74 |
$0.00 |
| 1000F |
|
902 |
898 |
$0.00 |
| 1036F |
|
690 |
688 |
$0.00 |