| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,023 |
1,997 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,798 |
3,678 |
$14K |
| 92226 |
|
524 |
259 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
286 |
281 |
$2K |
| 92202 |
|
393 |
389 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,104 |
1,091 |
$928.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
212 |
$845.84 |
| 99385 |
|
190 |
189 |
$646.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
125 |
107 |
$512.88 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$160.18 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
465 |
465 |
$113.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
417 |
413 |
$109.90 |
| 90688 |
|
34 |
34 |
$39.78 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$18.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
570 |
568 |
$10.70 |
| 1036F |
|
517 |
513 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
539 |
535 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
152 |
$0.00 |
| 96160 |
|
1,496 |
1,485 |
$0.00 |