| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,482 |
1,327 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
143 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$6K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
582 |
555 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
49 |
$963.25 |
| 90686 |
|
45 |
37 |
$500.75 |
| 96127 |
|
42 |
40 |
$418.00 |
| 90688 |
|
13 |
13 |
$211.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$120.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 3008F |
|
50 |
41 |
$0.00 |
| 3044F |
|
42 |
33 |
$0.00 |
| 3079F |
|
40 |
31 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |