| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,127 |
7,740 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
550 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,123 |
994 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
153 |
144 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
124 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,851 |
1,708 |
$3K |
| 94060 |
|
92 |
75 |
$2K |
| 94729 |
|
89 |
71 |
$2K |
| 94727 |
|
87 |
71 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
19 |
$1K |
| 93924 |
|
14 |
14 |
$974.47 |
| 80305 |
|
157 |
123 |
$945.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
158 |
134 |
$583.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
17 |
$423.92 |
| 94618 |
|
43 |
28 |
$422.35 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
35 |
27 |
$280.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$232.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
91 |
75 |
$216.54 |
| 94664 |
|
92 |
75 |
$201.79 |
| 99406 |
|
14 |
12 |
$98.20 |
| 96127 |
|
25 |
25 |
$90.75 |
| 81003 |
|
15 |
12 |
$9.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
21 |
13 |
$0.00 |
| 85027 |
|
24 |
14 |
$0.00 |