| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
249 |
$6K |
| 99497 |
|
25 |
25 |
$945.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$320.44 |
| 36415 |
Collection of venous blood by venipuncture |
162 |
160 |
$97.22 |
| 1170F |
|
20 |
20 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$0.00 |
| 1125F |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
20 |
$0.00 |
| 0518F |
|
17 |
17 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |