| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
589 |
589 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,112 |
7,601 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,894 |
1,751 |
$15K |
| 90688 |
|
744 |
744 |
$10K |
| 90756 |
|
335 |
335 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
305 |
305 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
43 |
$2K |
| 96156 |
|
119 |
119 |
$1K |
| 96151 |
|
355 |
353 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
107 |
$614.73 |
| 96150 |
|
142 |
142 |
$327.21 |
| 99422 |
|
13 |
13 |
$289.52 |
| 36415 |
Collection of venous blood by venipuncture |
226 |
226 |
$273.99 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
279 |
279 |
$247.59 |
| G0008 |
Administration of influenza virus vaccine |
412 |
412 |
$213.81 |
| 90694 |
|
157 |
156 |
$173.39 |
| 93000 |
|
15 |
13 |
$153.76 |
| H0049 |
Alcohol and/or drug screening |
109 |
109 |
$81.45 |
| 3078F |
|
17 |
17 |
$75.00 |
| 3074F |
|
17 |
17 |
$50.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$0.00 |