| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,304 |
2,987 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,045 |
1,045 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
809 |
809 |
$30K |
| 93000 |
|
1,504 |
1,502 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
690 |
690 |
$11K |
| 90688 |
|
387 |
386 |
$7K |
| 90686 |
|
257 |
257 |
$5K |
| 0513F |
|
607 |
579 |
$4K |
| 3074F |
|
327 |
314 |
$2K |
| 3078F |
|
359 |
345 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,222 |
2,177 |
$2K |
| 3075F |
|
12 |
12 |
$205.00 |
| 90658 |
|
28 |
28 |
$153.02 |
| 99386 |
|
12 |
12 |
$152.98 |
| 99441 |
|
13 |
13 |
$129.41 |
| 83014 |
|
14 |
14 |
$8.02 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
28 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$0.00 |