| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,249 |
3,739 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
412 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
336 |
335 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
181 |
181 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
2,601 |
2,492 |
$9K |
| 90682 |
|
53 |
53 |
$4K |
| 90686 |
|
117 |
117 |
$2K |
| 96160 |
|
232 |
231 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
177 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$389.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$373.03 |
| 96127 |
|
13 |
13 |
$39.65 |
| 3074F |
|
228 |
227 |
$0.00 |
| 3044F |
|
303 |
303 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
66 |
66 |
$0.00 |
| 3078F |
|
190 |
189 |
$0.00 |
| 99051 |
|
14 |
13 |
$0.00 |