| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,559 |
2,242 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,177 |
1,080 |
$69K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
109 |
109 |
$6K |
| 90688 |
|
273 |
273 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
377 |
377 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,521 |
1,469 |
$4K |
| 93000 |
|
143 |
143 |
$3K |
| 96127 |
|
667 |
439 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$933.99 |
| 99442 |
|
27 |
27 |
$900.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$500.76 |
| 90658 |
|
30 |
30 |
$313.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
458 |
455 |
$295.60 |
| 96160 |
|
78 |
78 |
$58.35 |
| 3074F |
|
12 |
12 |
$10.00 |
| 99072 |
|
670 |
637 |
$0.04 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
403 |
393 |
$0.00 |
| 3725F |
|
163 |
163 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 4145F |
|
18 |
15 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 3008F |
|
939 |
910 |
$0.00 |
| 1157F |
|
13 |
13 |
$0.00 |
| 99000 |
|
1,379 |
1,276 |
$0.00 |
| 3011F |
|
174 |
171 |
$0.00 |
| 1036F |
|
64 |
64 |
$0.00 |