| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,174 |
7,247 |
$380K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,333 |
2,715 |
$185K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,628 |
2,209 |
$54K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
213 |
186 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
59 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,610 |
1,423 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
43 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
46 |
43 |
$719.81 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$498.92 |
| 90756 |
|
18 |
13 |
$77.23 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
17 |
$0.00 |