| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,045 |
3,244 |
$241K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
269 |
264 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
460 |
434 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
229 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
1,485 |
1,448 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
624 |
606 |
$7K |
| 99385 |
|
59 |
58 |
$5K |
| 99397 |
|
94 |
93 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
97 |
$2K |
| 90656 |
|
67 |
67 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 81002 |
|
504 |
429 |
$1K |
| 99497 |
|
140 |
137 |
$951.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
85 |
$849.36 |
| 99401 |
|
30 |
28 |
$745.60 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
14 |
$523.98 |
| 90686 |
|
29 |
29 |
$491.25 |
| 81025 |
|
27 |
26 |
$169.12 |
| 90662 |
|
25 |
25 |
$111.73 |
| 82962 |
|
32 |
30 |
$54.25 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$12.41 |
| 96160 |
|
12 |
12 |
$7.38 |
| 99499 |
|
48 |
41 |
$0.04 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
78 |
77 |
$0.00 |
| 1160F |
|
77 |
65 |
$0.00 |
| 1159F |
|
91 |
76 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
25 |
$0.00 |