| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,196 |
952 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
455 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
72 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 96127 |
|
73 |
70 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
46 |
$686.20 |
| 90619 |
|
40 |
36 |
$668.40 |
| 81002 |
|
226 |
209 |
$587.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$573.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
18 |
$329.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$134.72 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
14 |
$3.28 |
| 3008F |
|
829 |
746 |
$0.00 |
| 3074F |
|
482 |
456 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$0.00 |