| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,883 |
2,930 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,155 |
3,510 |
$173K |
| 99199 |
Unlisted special service, procedure or report |
7,824 |
4,680 |
$38K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
614 |
602 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
881 |
624 |
$1K |
| 94010 |
|
108 |
82 |
$865.56 |
| 99386 |
|
16 |
12 |
$736.45 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
68 |
58 |
$645.78 |
| 99490 |
Ccm add 20min |
55 |
53 |
$439.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
35 |
$237.25 |
| 90661 |
|
20 |
14 |
$130.60 |
| 3008F |
|
158 |
95 |
$0.00 |
| 3074F |
|
507 |
307 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
35 |
32 |
$0.00 |
| 90674 |
|
146 |
68 |
$0.00 |
| 90656 |
|
24 |
13 |
$0.00 |
| 99000 |
|
44 |
33 |
$0.00 |
| 3017F |
|
20 |
12 |
$0.00 |
| 90686 |
|
25 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
20 |
19 |
$0.00 |