| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,172 |
2,721 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,812 |
3,271 |
$297K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,510 |
1,341 |
$73K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
414 |
401 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
435 |
418 |
$52K |
| 93000 |
|
745 |
744 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
699 |
681 |
$11K |
| 90688 |
|
525 |
520 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
304 |
292 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,306 |
3,165 |
$3K |
| 99000 |
|
3,043 |
2,805 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
257 |
254 |
$1K |
| 99441 |
|
37 |
25 |
$546.01 |
| 90662 |
|
56 |
56 |
$150.00 |
| 3725F |
|
111 |
111 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
156 |
136 |
$0.00 |
| 1036F |
|
28 |
28 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
71 |
70 |
$0.00 |
| 1000F |
|
48 |
47 |
$0.00 |