| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,197 |
2,942 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,043 |
2,730 |
$182K |
| 99215 |
Prolong outpt/office vis |
136 |
132 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
129 |
125 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
58 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
628 |
614 |
$4K |
| 90682 |
|
69 |
68 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
239 |
237 |
$3K |
| 90686 |
|
237 |
235 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$3K |
| 96127 |
|
897 |
862 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
211 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
250 |
240 |
$751.52 |
| G9001 |
Coordinated care fee, initial rate |
12 |
12 |
$162.20 |
| 98966 |
|
57 |
49 |
$134.11 |
| 36416 |
|
14 |
14 |
$53.76 |
| 3044F |
|
220 |
212 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,385 |
1,365 |
$0.00 |
| 3700F |
|
113 |
107 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
17 |
14 |
$0.00 |
| 97802 |
|
26 |
25 |
$0.00 |
| 90688 |
|
21 |
21 |
$0.00 |
| 99071 |
|
163 |
155 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
134 |
133 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |