| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,937 |
3,849 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,765 |
3,217 |
$216K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$11K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
374 |
369 |
$10K |
| 99307 |
|
404 |
244 |
$5K |
| 93000 |
|
111 |
110 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,997 |
1,962 |
$1K |
| 99442 |
|
36 |
36 |
$1K |
| 3074F |
|
845 |
760 |
$1K |
| 3078F |
|
824 |
747 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 3077F |
|
373 |
336 |
$740.00 |
| 3079F |
|
479 |
451 |
$582.50 |
| 81002 |
|
253 |
251 |
$445.87 |
| 90688 |
|
28 |
28 |
$426.54 |
| 3075F |
|
284 |
269 |
$347.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
39 |
$300.52 |
| 3080F |
|
126 |
115 |
$280.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$223.93 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$116.15 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
251 |
219 |
$101.25 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
236 |
201 |
$22.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
49 |
39 |
$0.00 |