| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,050 |
4,645 |
$369K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,627 |
3,331 |
$187K |
| 99215 |
Prolong outpt/office vis |
144 |
137 |
$14K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
286 |
70 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,659 |
3,444 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
26 |
$2K |
| 90688 |
|
115 |
113 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
28 |
17 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
156 |
$1K |
| 96127 |
|
208 |
206 |
$573.26 |
| 93000 |
|
52 |
52 |
$303.72 |
| 99406 |
|
46 |
43 |
$300.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
25 |
$279.64 |
| 81000 |
|
123 |
117 |
$215.93 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50 |
50 |
$153.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$89.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
103 |
103 |
$0.00 |
| 3074F |
|
393 |
377 |
$0.00 |
| 3079F |
|
66 |
65 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
93 |
90 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$0.00 |
| 3078F |
|
290 |
284 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
109 |
104 |
$0.00 |
| 90662 |
|
18 |
18 |
$0.00 |