| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,972 |
3,028 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,263 |
1,967 |
$255K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
118 |
$15K |
| 94010 |
|
439 |
439 |
$12K |
| 93000 |
|
692 |
682 |
$9K |
| 90688 |
|
344 |
343 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
236 |
$4K |
| 99497 |
|
37 |
37 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
127 |
126 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,239 |
1,224 |
$910.77 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
143 |
142 |
$578.07 |
| 3725F |
|
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |