| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
683 |
615 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
248 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
79 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
40 |
$3K |
| 90651 |
|
30 |
28 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
13 |
$729.88 |
| 96127 |
|
40 |
40 |
$606.53 |
| 90620 |
|
17 |
13 |
$284.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$248.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$154.56 |
| 80305 |
|
12 |
12 |
$107.76 |
| 81002 |
|
29 |
28 |
$75.40 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
39 |
$6.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$0.00 |
| 3008F |
|
568 |
534 |
$0.00 |
| 3074F |
|
353 |
334 |
$0.00 |