| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,417 |
6,792 |
$317K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,057 |
1,830 |
$40K |
| 99397 |
|
88 |
80 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
30 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
174 |
162 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
354 |
314 |
$849.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$718.74 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
296 |
265 |
$555.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$489.51 |
| 90658 |
|
42 |
42 |
$257.92 |
| 36415 |
Collection of venous blood by venipuncture |
1,679 |
1,630 |
$200.00 |
| 3078F |
|
983 |
880 |
$110.00 |
| 3074F |
|
851 |
762 |
$107.50 |
| 99000 |
|
1,613 |
1,562 |
$75.00 |
| 3077F |
|
218 |
201 |
$20.00 |
| 3079F |
|
366 |
340 |
$17.50 |
| 3075F |
|
219 |
205 |
$2.50 |
| 99080 |
|
335 |
316 |
$0.00 |
| 99072 |
|
769 |
686 |
$0.00 |
| 3044F |
|
53 |
52 |
$0.00 |
| 3008F |
|
145 |
127 |
$0.00 |
| 3080F |
|
31 |
29 |
$0.00 |