| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,652 |
6,538 |
$545K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
377 |
364 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
665 |
630 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,016 |
937 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
624 |
577 |
$16K |
| 36410 |
|
1,408 |
1,255 |
$10K |
| 90688 |
|
799 |
757 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
733 |
660 |
$8K |
| 90686 |
|
451 |
428 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
54 |
$6K |
| 99215 |
Prolong outpt/office vis |
47 |
39 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,351 |
1,284 |
$2K |
| 87210 |
|
367 |
336 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
65 |
57 |
$975.00 |
| 81002 |
|
312 |
289 |
$898.57 |
| 90658 |
|
43 |
41 |
$786.96 |
| 82270 |
|
43 |
41 |
$149.84 |
| 90672 |
|
30 |
25 |
$45.30 |
| 90662 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |