| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,654 |
1,834 |
$91K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
176 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
36 |
$3K |
| 81003 |
|
560 |
517 |
$343.96 |
| 93000 |
|
29 |
25 |
$81.41 |
| 36415 |
Collection of venous blood by venipuncture |
648 |
576 |
$14.16 |
| 99406 |
|
17 |
12 |
$9.15 |
| 0521F |
|
661 |
484 |
$0.00 |
| 3078F |
|
1,216 |
759 |
$0.00 |
| 1160F |
|
1,900 |
1,197 |
$0.00 |
| 99497 |
|
125 |
122 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
62 |
28 |
$0.00 |
| 1159F |
|
1,914 |
1,209 |
$0.00 |
| 0556F |
|
419 |
313 |
$0.00 |
| 1158F |
|
123 |
118 |
$0.00 |
| 4013F |
|
39 |
27 |
$0.00 |
| 3050F |
|
13 |
13 |
$0.00 |
| 1126F |
|
1,420 |
955 |
$0.00 |
| 3008F |
|
1,870 |
1,181 |
$0.00 |
| 2010F |
|
1,817 |
1,147 |
$0.00 |
| 3074F |
|
1,261 |
780 |
$0.00 |
| 3075F |
|
164 |
114 |
$0.00 |
| 3079F |
|
160 |
114 |
$0.00 |
| 1125F |
|
772 |
566 |
$0.00 |
| 2001F |
|
1,774 |
1,126 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
126 |
123 |
$0.00 |
| 96127 |
|
126 |
123 |
$0.00 |
| 1157F |
|
123 |
118 |
$0.00 |
| 4010F |
|
101 |
72 |
$0.00 |
| 4008F |
|
18 |
12 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
12 |
$0.00 |
| 3319F |
|
41 |
39 |
$0.00 |