| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,963 |
9,762 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,815 |
6,491 |
$59K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,157 |
2,156 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,969 |
1,966 |
$24K |
| 99385 |
|
395 |
395 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
123 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
341 |
341 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,767 |
3,626 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
204 |
$2K |
| 93000 |
|
146 |
144 |
$2K |
| 99442 |
|
53 |
47 |
$1K |
| 90658 |
|
212 |
212 |
$1K |
| 99441 |
|
47 |
40 |
$923.21 |
| 0012A |
|
15 |
14 |
$560.00 |
| 0011A |
|
12 |
12 |
$440.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
167 |
160 |
$117.00 |
| 81025 |
|
27 |
27 |
$44.45 |
| 3008F |
|
55 |
53 |
$0.01 |
| 97802 |
|
255 |
255 |
$0.00 |
| G8780 |
Counseling for diet and physical activity performed |
115 |
115 |
$0.00 |
| 3725F |
|
186 |
178 |
$0.00 |