| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,232 |
8,562 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,739 |
2,716 |
$184K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
991 |
987 |
$125K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
735 |
735 |
$95K |
| 99401 |
|
1,548 |
1,540 |
$45K |
| 93000 |
|
3,638 |
3,610 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
630 |
601 |
$23K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
2,265 |
2,262 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,129 |
1,119 |
$17K |
| 90686 |
|
663 |
663 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$11K |
| 99442 |
|
144 |
127 |
$8K |
| 90674 |
|
291 |
291 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
5,432 |
5,335 |
$5K |
| 99050 |
|
474 |
465 |
$5K |
| 82947 |
|
1,101 |
1,090 |
$2K |
| 99441 |
|
67 |
63 |
$2K |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
79 |
79 |
$2K |
| 81000 |
|
816 |
806 |
$1K |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
22 |
22 |
$210.00 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
22 |
22 |
$194.40 |
| 81002 |
|
81 |
77 |
$136.86 |
| 3074F |
|
729 |
728 |
$127.59 |
| 3078F |
|
550 |
549 |
$90.02 |
| 3079F |
|
180 |
180 |
$65.00 |
| 3075F |
|
115 |
115 |
$60.00 |
| 82962 |
|
13 |
13 |
$25.08 |
| 3044F |
|
825 |
824 |
$20.03 |
| 3080F |
|
38 |
38 |
$10.00 |
| 3077F |
|
26 |
26 |
$2.50 |
| 3725F |
|
932 |
931 |
$0.00 |
| 3050F |
|
25 |
25 |
$0.00 |
| 4013F |
|
67 |
67 |
$0.00 |
| 3048F |
|
418 |
418 |
$0.00 |
| 3049F |
|
135 |
135 |
$0.00 |
| 3017F |
|
97 |
97 |
$0.00 |
| 3014F |
|
37 |
37 |
$0.00 |
| 99429 |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
22 |
$0.00 |