| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,243 |
4,011 |
$410K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,929 |
3,806 |
$254K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
142 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
93 |
$10K |
| 96127 |
|
421 |
414 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
375 |
256 |
$4K |
| 99000 |
|
120 |
105 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
133 |
131 |
$2K |
| 80305 |
|
211 |
188 |
$2K |
| 81002 |
|
504 |
344 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$1K |
| 90619 |
|
46 |
25 |
$739.61 |
| 90715 |
|
39 |
13 |
$614.34 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
57 |
25 |
$87.06 |
| 36415 |
Collection of venous blood by venipuncture |
322 |
268 |
$52.08 |
| 3008F |
|
5,808 |
4,063 |
$9.18 |
| 3074F |
|
715 |
608 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
39 |
$0.00 |