| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,687 |
4,865 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
493 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
315 |
279 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
174 |
142 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
246 |
$8K |
| 99000 |
|
168 |
151 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
242 |
199 |
$3K |
| 96127 |
|
113 |
104 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
40 |
$586.92 |
| 90619 |
|
30 |
30 |
$501.30 |
| 80305 |
|
51 |
50 |
$442.55 |
| 81002 |
|
119 |
107 |
$308.10 |
| 90715 |
|
15 |
15 |
$250.65 |
| 36415 |
Collection of venous blood by venipuncture |
162 |
148 |
$22.09 |
| 3008F |
|
3,645 |
3,092 |
$0.00 |
| 3074F |
|
389 |
361 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$0.00 |