| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99429 |
|
147 |
147 |
$20K |
| 99215 |
Prolong outpt/office vis |
2,526 |
2,456 |
$11K |
| 99205 |
Prolong outpt/office vis |
264 |
263 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,658 |
1,610 |
$4K |
| 1125F |
|
50 |
50 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
636 |
629 |
$959.75 |
| 36410 |
|
851 |
837 |
$603.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
391 |
380 |
$521.01 |
| 90674 |
|
247 |
245 |
$384.09 |
| 90686 |
|
252 |
251 |
$367.46 |
| 36415 |
Collection of venous blood by venipuncture |
654 |
641 |
$225.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
329 |
327 |
$141.86 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
25 |
25 |
$99.72 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
87 |
86 |
$84.91 |
| 99000 |
|
456 |
448 |
$71.32 |
| 81002 |
|
619 |
600 |
$55.12 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
95 |
95 |
$51.00 |
| 82274 |
|
123 |
121 |
$41.16 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$31.33 |
| 96160 |
|
235 |
234 |
$1.59 |
| 3008F |
|
105 |
105 |
$0.00 |
| 3074F |
|
525 |
510 |
$0.00 |
| 3079F |
|
118 |
115 |
$0.00 |
| S0257 |
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) |
101 |
101 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
30 |
$0.00 |
| 1170F |
|
123 |
123 |
$0.00 |
| 88141 |
|
61 |
59 |
$0.00 |
| 82270 |
|
43 |
42 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |
| 3077F |
|
79 |
76 |
$0.00 |
| 1160F |
|
487 |
477 |
$0.00 |
| 3078F |
|
626 |
612 |
$0.00 |
| 1159F |
|
487 |
477 |
$0.00 |