| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,188 |
2,041 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,520 |
4,683 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
337 |
$2K |
| 90686 |
|
106 |
105 |
$223.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$99.65 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$44.80 |
| 92551 |
|
15 |
15 |
$22.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
26 |
$19.69 |
| 96127 |
|
87 |
87 |
$13.47 |
| 99000 |
|
17 |
16 |
$13.44 |
| 36415 |
Collection of venous blood by venipuncture |
780 |
764 |
$9.94 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
291 |
254 |
$0.01 |
| 3078F |
|
246 |
245 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
51 |
$0.00 |
| 3074F |
|
194 |
192 |
$0.00 |
| 3008F |
|
471 |
465 |
$0.00 |