| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,898 |
6,172 |
$400K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,094 |
1,812 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
256 |
189 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
180 |
145 |
$15K |
| 96127 |
|
650 |
609 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
117 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
281 |
212 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
382 |
257 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
40 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
155 |
153 |
$2K |
| 99000 |
|
95 |
78 |
$2K |
| 80305 |
|
158 |
148 |
$1K |
| 90734 |
|
35 |
20 |
$1K |
| 81002 |
|
161 |
145 |
$407.55 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
25 |
$379.60 |
| 36415 |
Collection of venous blood by venipuncture |
462 |
402 |
$91.88 |
| 3008F |
|
5,995 |
4,647 |
$0.00 |
| 3074F |
|
685 |
537 |
$0.00 |
| 3075F |
|
26 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
12 |
$0.00 |