| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,368 |
6,824 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
212 |
197 |
$990.88 |
| 3725F |
|
366 |
364 |
$285.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
68 |
$122.75 |
| 3008F |
|
2,862 |
2,563 |
$110.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
463 |
462 |
$95.32 |
| 3074F |
|
242 |
224 |
$90.00 |
| 3078F |
|
902 |
840 |
$90.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
337 |
333 |
$0.00 |
| 3075F |
|
184 |
182 |
$0.00 |
| 3079F |
|
154 |
148 |
$0.00 |
| 1126F |
|
19 |
19 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
17 |
16 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 1101F |
|
36 |
36 |
$0.00 |
| 1170F |
|
34 |
34 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
33 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 1158F |
|
36 |
36 |
$0.00 |
| 82948 |
|
640 |
540 |
$0.00 |
| 3077F |
|
113 |
100 |
$0.00 |
| 81002 |
|
28 |
28 |
$0.00 |
| 99173 |
|
150 |
150 |
$0.00 |
| 1159F |
|
36 |
36 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 3288F |
|
36 |
36 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$0.00 |
| 1160F |
|
36 |
36 |
$0.00 |
| 1090F |
|
35 |
35 |
$0.00 |