| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,651 |
4,317 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,491 |
1,387 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
358 |
313 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
177 |
$16K |
| 96127 |
|
405 |
374 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
51 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
331 |
299 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
164 |
153 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
28 |
$2K |
| 90619 |
|
119 |
95 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
72 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$1K |
| 90686 |
|
33 |
30 |
$585.93 |
| 80305 |
|
42 |
40 |
$341.43 |
| 90715 |
|
20 |
13 |
$317.60 |
| 81002 |
|
99 |
79 |
$253.50 |
| 90620 |
|
14 |
13 |
$233.94 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
13 |
$204.40 |
| 90651 |
|
12 |
12 |
$200.52 |
| 36415 |
Collection of venous blood by venipuncture |
492 |
461 |
$141.67 |
| 3008F |
|
3,612 |
3,223 |
$0.00 |
| 3074F |
|
574 |
522 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
43 |
$0.00 |