| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,398 |
11,008 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,861 |
4,850 |
$117K |
| 93880 |
|
690 |
689 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
602 |
602 |
$11K |
| 99483 |
Prolong outpt/office vis |
72 |
72 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
484 |
476 |
$6K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
316 |
316 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$2K |
| 99442 |
|
25 |
25 |
$929.92 |
| 36415 |
Collection of venous blood by venipuncture |
1,002 |
997 |
$467.95 |
| 99441 |
|
31 |
30 |
$388.75 |
| 82962 |
|
943 |
936 |
$310.65 |
| 90674 |
|
117 |
117 |
$288.13 |
| 90688 |
|
301 |
301 |
$282.49 |
| G0008 |
Administration of influenza virus vaccine |
607 |
607 |
$235.62 |
| 90756 |
|
141 |
141 |
$196.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
258 |
258 |
$20.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
101 |
$0.00 |
| 90653 |
|
14 |
14 |
$0.00 |
| 90661 |
|
32 |
32 |
$0.00 |