| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,114 |
3,461 |
$463K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
410 |
315 |
$25K |
| 99441 |
|
481 |
368 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
130 |
$16K |
| 99386 |
|
34 |
34 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
279 |
260 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
28 |
$4K |
| 93000 |
|
259 |
254 |
$3K |
| 90686 |
|
103 |
103 |
$2K |
| 0004A |
|
26 |
26 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
38 |
$882.26 |
| 99000 |
|
1,551 |
1,349 |
$795.97 |
| 0064A |
|
18 |
18 |
$775.62 |
| 36415 |
Collection of venous blood by venipuncture |
807 |
800 |
$645.74 |
| 90656 |
|
19 |
19 |
$182.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$31.20 |
| 1159F |
|
130 |
116 |
$0.00 |
| 1160F |
|
130 |
116 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 91300 |
|
27 |
27 |
$0.00 |
| 91306 |
|
18 |
18 |
$0.00 |