| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,153 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
287 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
219 |
204 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
79 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$7K |
| 99386 |
|
65 |
65 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
128 |
$3K |
| 99385 |
|
46 |
46 |
$3K |
| 94060 |
|
56 |
53 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
34 |
$2K |
| 94729 |
|
21 |
20 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$1K |
| 95816 |
|
58 |
55 |
$1K |
| 99397 |
|
30 |
29 |
$924.40 |
| 94375 |
|
17 |
17 |
$628.89 |
| 81007 |
|
42 |
40 |
$569.76 |
| 81002 |
|
504 |
501 |
$384.88 |
| 94010 |
|
12 |
12 |
$288.60 |
| 94726 |
|
19 |
18 |
$281.87 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
25 |
$240.36 |
| 94200 |
|
18 |
18 |
$212.30 |
| 99407 |
|
41 |
41 |
$92.67 |
| 36415 |
Collection of venous blood by venipuncture |
629 |
625 |
$46.06 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
46 |
46 |
$41.82 |
| S9470 |
Nutritional counseling, dietitian visit |
42 |
41 |
$10.00 |
| 94760 |
|
56 |
53 |
$2.08 |
| 2000F |
|
81 |
73 |
$0.00 |
| 94150 |
|
18 |
18 |
$0.00 |