| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,851 |
4,522 |
$68K |
| 99215 |
Prolong outpt/office vis |
877 |
859 |
$19K |
| 99000 |
|
1,480 |
1,464 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
862 |
497 |
$4K |
| 99443 |
|
134 |
124 |
$2K |
| 82962 |
|
1,026 |
953 |
$1K |
| 90658 |
|
36 |
36 |
$837.64 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$449.10 |
| 36415 |
Collection of venous blood by venipuncture |
613 |
608 |
$444.56 |
| 3074F |
|
150 |
146 |
$408.30 |
| 1159F |
|
151 |
151 |
$306.31 |
| 1036F |
|
109 |
109 |
$215.79 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
108 |
$198.76 |
| 1125F |
|
109 |
109 |
$147.00 |
| 90656 |
|
15 |
15 |
$146.70 |
| 3008F |
|
143 |
143 |
$146.13 |
| 1157F |
|
121 |
121 |
$145.33 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
34 |
34 |
$128.64 |
| G0008 |
Administration of influenza virus vaccine |
41 |
41 |
$126.99 |
| 3079F |
|
143 |
139 |
$118.13 |
| 1003F |
|
159 |
159 |
$99.00 |
| 90688 |
|
29 |
29 |
$93.68 |
| 1170F |
|
139 |
139 |
$78.30 |
| 1101F |
|
154 |
154 |
$54.00 |
| 3077F |
|
14 |
14 |
$37.50 |
| 1126F |
|
13 |
13 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3078F |
|
19 |
19 |
$0.00 |