| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,840 |
3,211 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
397 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$11K |
| 99401 |
|
421 |
367 |
$7K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
456 |
416 |
$3K |
| 3074F |
|
1,357 |
1,134 |
$2K |
| 3078F |
|
1,428 |
1,193 |
$2K |
| 93000 |
|
144 |
144 |
$2K |
| 3079F |
|
580 |
523 |
$887.50 |
| 3077F |
|
468 |
409 |
$722.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,270 |
1,219 |
$531.77 |
| 3075F |
|
228 |
211 |
$320.00 |
| 3080F |
|
139 |
122 |
$242.50 |
| 90688 |
|
13 |
13 |
$194.63 |
| 1160F |
|
258 |
231 |
$155.00 |
| 96127 |
|
77 |
74 |
$89.50 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$69.28 |
| 81002 |
|
12 |
12 |
$21.14 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
616 |
508 |
$0.00 |
| 99429 |
|
18 |
16 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
171 |
137 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
950 |
776 |
$0.00 |