| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,172 |
6,839 |
$347K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,445 |
4,906 |
$340K |
| 99497 |
|
1,140 |
1,082 |
$63K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
391 |
383 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
357 |
336 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
207 |
200 |
$17K |
| 92551 |
|
1,855 |
1,779 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
325 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,170 |
2,087 |
$6K |
| 81002 |
|
2,258 |
2,130 |
$6K |
| 90688 |
|
303 |
273 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
123 |
52 |
$4K |
| 99205 |
Prolong outpt/office vis |
29 |
26 |
$3K |
| 96160 |
|
942 |
915 |
$2K |
| 90674 |
|
136 |
121 |
$2K |
| 99173 |
|
1,561 |
1,364 |
$1K |
| 93000 |
|
95 |
93 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$24.45 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |