| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,769 |
2,232 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,162 |
871 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
594 |
248 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
63 |
53 |
$207.26 |
| 36415 |
Collection of venous blood by venipuncture |
203 |
180 |
$21.64 |
| 4010F |
|
3,553 |
1,195 |
$0.00 |
| 3008F |
|
342 |
243 |
$0.00 |
| 3074F |
|
1,374 |
740 |
$0.00 |
| 1125F |
|
176 |
160 |
$0.00 |
| 3075F |
|
1,561 |
433 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
66 |
62 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
23 |
16 |
$0.00 |
| 99452 |
|
13 |
13 |
$0.00 |
| 3079F |
|
52 |
48 |
$0.00 |
| 3017F |
|
13 |
13 |
$0.00 |
| 1170F |
|
113 |
85 |
$0.00 |
| 1101F |
|
61 |
37 |
$0.00 |
| 1157F |
|
23 |
20 |
$0.00 |
| 3078F |
|
2,991 |
1,120 |
$0.00 |
| 4013F |
|
3,428 |
1,149 |
$0.00 |
| 1160F |
|
254 |
200 |
$0.00 |
| 0521F |
|
156 |
143 |
$0.00 |
| 1159F |
|
301 |
251 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
73 |
51 |
$0.00 |
| 1158F |
|
62 |
42 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
12 |
$0.00 |