| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,736 |
4,083 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
324 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
219 |
$2K |
| 99443 |
|
19 |
18 |
$2K |
| 90688 |
|
47 |
47 |
$660.08 |
| 90686 |
|
29 |
29 |
$517.17 |
| 90674 |
|
14 |
14 |
$426.00 |
| 36415 |
Collection of venous blood by venipuncture |
480 |
478 |
$153.02 |
| 3074F |
|
80 |
73 |
$52.50 |
| 3078F |
|
146 |
136 |
$42.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$0.00 |
| 3008F |
|
165 |
150 |
$0.00 |
| 99000 |
|
177 |
177 |
$0.00 |
| 4013F |
|
24 |
24 |
$0.00 |