| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
615 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,213 |
1,067 |
$3K |
| 90756 |
|
217 |
217 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
279 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
349 |
346 |
$1K |
| 90688 |
|
77 |
76 |
$835.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
441 |
440 |
$579.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,069 |
1,977 |
$190.00 |
| 3008F |
|
432 |
432 |
$95.00 |
| 93000 |
|
19 |
18 |
$50.00 |
| 3079F |
|
27 |
27 |
$25.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
259 |
259 |
$25.00 |
| 3078F |
|
264 |
264 |
$25.00 |
| 3074F |
|
228 |
228 |
$0.00 |
| 36416 |
|
32 |
31 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
19 |
$0.00 |