| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
978 |
932 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,653 |
1,460 |
$34K |
| 93000 |
|
706 |
691 |
$5K |
| 99497 |
|
140 |
137 |
$2K |
| 99490 |
Ccm add 20min |
242 |
242 |
$2K |
| 94375 |
|
115 |
113 |
$2K |
| 92100 |
|
56 |
56 |
$1K |
| 92552 |
|
122 |
119 |
$1K |
| 92567 |
|
109 |
105 |
$564.55 |
| 36415 |
Collection of venous blood by venipuncture |
393 |
381 |
$326.34 |
| 90688 |
|
25 |
25 |
$183.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$182.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
44 |
41 |
$108.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$77.10 |
| 3074F |
|
136 |
125 |
$25.00 |
| 99000 |
|
165 |
161 |
$5.09 |
| 3078F |
|
74 |
72 |
$5.00 |
| 97803 |
|
12 |
12 |
$4.17 |
| 3725F |
|
28 |
28 |
$0.00 |
| 1159F |
|
580 |
523 |
$0.00 |
| 1160F |
|
61 |
61 |
$0.00 |
| 3008F |
|
710 |
642 |
$0.00 |
| 3048F |
|
134 |
122 |
$0.00 |
| 3044F |
|
229 |
208 |
$0.00 |
| 99429 |
|
114 |
89 |
$0.00 |
| 1036F |
|
60 |
59 |
$0.00 |
| 1126F |
|
109 |
102 |
$0.00 |
| 3049F |
|
39 |
39 |
$0.00 |