| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
2,285 |
1,620 |
$341K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,638 |
1,344 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
351 |
$34K |
| 99348 |
|
152 |
120 |
$13K |
| 99347 |
|
149 |
101 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
13 |
$2K |
| 90686 |
|
27 |
27 |
$376.55 |
| 94760 |
|
1,982 |
1,601 |
$355.02 |
| 36415 |
Collection of venous blood by venipuncture |
897 |
873 |
$328.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$302.07 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$199.18 |
| 90656 |
|
12 |
12 |
$191.71 |
| 3078F |
|
122 |
104 |
$105.00 |
| 3074F |
|
83 |
74 |
$55.00 |
| 1159F |
|
689 |
580 |
$10.00 |
| 1160F |
|
684 |
579 |
$5.00 |
| 3008F |
|
722 |
609 |
$0.00 |