| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
386 |
384 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
493 |
490 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,783 |
7,435 |
$7K |
| 90686 |
|
733 |
713 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
467 |
466 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,642 |
1,617 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
314 |
306 |
$546.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$375.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
274 |
$297.13 |
| 92551 |
|
26 |
26 |
$169.08 |
| 85018 |
|
28 |
28 |
$50.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$35.00 |
| 3008F |
|
1,758 |
1,753 |
$15.63 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
325 |
325 |
$7.00 |
| 3725F |
|
93 |
93 |
$1.53 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
45 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 3078F |
|
27 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
885 |
882 |
$0.00 |
| 3074F |
|
77 |
77 |
$0.00 |
| 99385 |
|
24 |
24 |
$0.00 |
| 3079F |
|
36 |
36 |
$0.00 |