| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,323 |
4,693 |
$441K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,816 |
1,607 |
$97K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
308 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
315 |
274 |
$22K |
| 99384 |
|
36 |
30 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
243 |
199 |
$3K |
| 96127 |
|
121 |
114 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
68 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
14 |
$1K |
| 90619 |
|
64 |
62 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
52 |
$835.30 |
| 99000 |
|
35 |
31 |
$797.64 |
| 90651 |
|
38 |
34 |
$634.98 |
| 90715 |
|
14 |
13 |
$233.94 |
| 81002 |
|
75 |
69 |
$189.80 |
| 36415 |
Collection of venous blood by venipuncture |
116 |
102 |
$25.71 |
| 3008F |
|
3,958 |
3,322 |
$0.00 |
| 3074F |
|
646 |
600 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
36 |
$0.00 |