| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
250 |
249 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
322 |
$13K |
| 99000 |
|
112 |
112 |
$831.87 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
19 |
$374.12 |
| 99401 |
|
42 |
33 |
$0.00 |
| 96160 |
|
98 |
95 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
104 |
103 |
$0.00 |
| 3078F |
|
23 |
21 |
$0.00 |
| 3077F |
|
52 |
50 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
106 |
105 |
$0.00 |
| 3079F |
|
42 |
40 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
125 |
122 |
$0.00 |
| 3074F |
|
60 |
58 |
$0.00 |
| 3080F |
|
67 |
63 |
$0.00 |