| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,392 |
2,194 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,898 |
2,642 |
$84K |
| 99215 |
Prolong outpt/office vis |
132 |
124 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
150 |
150 |
$7K |
| 93000 |
|
1,256 |
1,237 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
270 |
252 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,694 |
1,674 |
$778.64 |
| 99401 |
|
163 |
158 |
$429.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
46 |
46 |
$128.03 |
| 1170F |
|
199 |
199 |
$25.00 |
| 3008F |
|
400 |
394 |
$0.07 |
| 1180F |
|
243 |
242 |
$0.00 |
| 2000F |
|
125 |
118 |
$0.00 |
| 2001F |
|
125 |
118 |
$0.00 |
| 2010F |
|
125 |
118 |
$0.00 |
| 99000 |
|
34 |
31 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| D0416 |
|
13 |
13 |
$0.00 |
| 3725F |
|
357 |
354 |
$0.00 |