| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,290 |
1,146 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
911 |
$71K |
| 96127 |
|
827 |
758 |
$10K |
| 99401 |
|
149 |
141 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
96 |
$2K |
| 99173 |
|
193 |
182 |
$1K |
| 90686 |
|
71 |
68 |
$892.57 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
15 |
$674.88 |
| 36415 |
Collection of venous blood by venipuncture |
254 |
220 |
$549.00 |
| 90656 |
|
18 |
18 |
$312.90 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$178.20 |
| 90688 |
|
12 |
12 |
$160.56 |
| 93000 |
|
14 |
13 |
$151.93 |
| 81003 |
|
455 |
415 |
$28.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
58 |
$3.12 |
| G0008 |
Administration of influenza virus vaccine |
37 |
34 |
$0.00 |
| 99072 |
|
74 |
66 |
$0.00 |