| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
138 |
$157.41 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
100 |
55 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
229 |
81 |
$0.00 |
| G0403 |
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
60 |
36 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
21 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
14 |
$0.00 |
| 81001 |
|
27 |
17 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
26 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
30 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
16 |
$0.00 |