| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,173 |
4,159 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,597 |
1,532 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,398 |
960 |
$3K |
| 90686 |
|
152 |
152 |
$978.39 |
| 99386 |
|
178 |
102 |
$480.87 |
| 36415 |
Collection of venous blood by venipuncture |
3,483 |
3,409 |
$271.50 |
| 99423 |
|
78 |
66 |
$250.01 |
| 90688 |
|
25 |
25 |
$224.85 |
| 99443 |
|
154 |
149 |
$110.00 |
| 90656 |
|
15 |
15 |
$98.95 |
| 88150 |
|
130 |
130 |
$79.73 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$19.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
137 |
137 |
$15.00 |
| 96127 |
|
74 |
74 |
$4.76 |
| 3074F |
|
1,422 |
1,418 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
256 |
256 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,689 |
1,685 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
116 |
116 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
65 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
20 |
$0.00 |