| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,356 |
2,880 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,344 |
1,238 |
$78K |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
2,471 |
2,196 |
$13K |
| 96160 |
|
529 |
479 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$3K |
| 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) |
251 |
236 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
513 |
477 |
$2K |
| 94760 |
|
444 |
367 |
$1K |
| 90674 |
|
31 |
29 |
$697.48 |
| 98960 |
|
1,081 |
970 |
$426.53 |
| 3074F |
|
774 |
712 |
$216.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$191.51 |
| 3075F |
|
276 |
252 |
$155.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$112.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
281 |
258 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
16 |
14 |
$0.00 |
| 3079F |
|
48 |
45 |
$0.00 |
| 3017F |
|
29 |
27 |
$0.00 |
| 3078F |
|
967 |
886 |
$0.00 |
| 1159F |
|
45 |
39 |
$0.00 |
| 1160F |
|
46 |
40 |
$0.00 |