| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
580 |
472 |
$22K |
| 90836 |
|
192 |
165 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
70 |
$3K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$74.99 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
119 |
$67.93 |
| 3017F |
|
23 |
23 |
$25.00 |
| 3288F |
|
21 |
21 |
$25.00 |
| 90688 |
|
37 |
35 |
$0.00 |
| 1036F |
|
21 |
21 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
24 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
32 |
$0.00 |