| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,785 |
5,307 |
$322K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
453 |
452 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
333 |
333 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
142 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,008 |
1,949 |
$6K |
| 99407 |
|
100 |
98 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 99406 |
|
184 |
178 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$962.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$329.00 |
| 90674 |
|
18 |
18 |
$280.00 |
| 99051 |
|
51 |
48 |
$230.00 |
| 96127 |
|
15 |
15 |
$41.58 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$23.97 |
| 4000F |
|
80 |
80 |
$0.00 |
| 3008F |
|
224 |
224 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$0.00 |
| 1036F |
|
42 |
37 |
$0.00 |
| 1034F |
|
117 |
116 |
$0.00 |
| 3725F |
|
213 |
212 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
37 |
35 |
$0.00 |
| 3015F |
|
24 |
24 |
$0.00 |
| 1159F |
|
39 |
34 |
$0.00 |
| 1160F |
|
36 |
31 |
$0.00 |