| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,788 |
5,998 |
$164K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
239 |
237 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,901 |
1,744 |
$66K |
| 99205 |
Prolong outpt/office vis |
119 |
119 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
61 |
60 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
66 |
$6K |
| 99215 |
Prolong outpt/office vis |
77 |
77 |
$4K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
221 |
221 |
$3K |
| 99000 |
|
1,068 |
1,051 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$921.71 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$882.88 |
| 99490 |
Ccm add 20min |
149 |
149 |
$865.88 |
| 81025 |
|
90 |
84 |
$252.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
28 |
$238.32 |
| S4993 |
Contraceptive pills for birth control |
14 |
14 |
$168.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
43 |
$141.73 |
| 96151 |
|
43 |
40 |
$137.32 |
| 36415 |
Collection of venous blood by venipuncture |
354 |
335 |
$82.25 |
| 1111F |
|
35 |
34 |
$0.02 |
| 3008F |
|
15 |
15 |
$0.00 |
| 1036F |
|
29 |
26 |
$0.00 |
| 99397 |
|
18 |
12 |
$0.00 |