| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,795 |
1,621 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,287 |
2,061 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
14 |
$1K |
| 90688 |
|
51 |
50 |
$476.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$328.98 |
| 90674 |
|
12 |
12 |
$214.08 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$164.38 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
91 |
$150.49 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
381 |
352 |
$100.03 |
| 99406 |
|
14 |
13 |
$31.66 |
| 3079F |
|
725 |
641 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
172 |
168 |
$0.00 |
| 3074F |
|
1,447 |
1,271 |
$0.00 |
| 3075F |
|
362 |
328 |
$0.00 |
| 1036F |
|
239 |
220 |
$0.00 |
| 3078F |
|
1,236 |
1,098 |
$0.00 |
| 3077F |
|
15 |
13 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |