| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
739 |
699 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,045 |
991 |
$54K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
182 |
182 |
$18K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
258 |
258 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
129 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
67 |
67 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
19 |
$945.82 |
| 96127 |
|
100 |
90 |
$712.71 |
| 36415 |
Collection of venous blood by venipuncture |
297 |
293 |
$637.75 |
| 90686 |
|
30 |
30 |
$509.10 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
14 |
13 |
$122.92 |