| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,873 |
3,523 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
580 |
$31K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
321 |
318 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
54 |
$723.28 |
| 90658 |
|
31 |
31 |
$450.12 |
| 36415 |
Collection of venous blood by venipuncture |
943 |
932 |
$215.44 |
| 82270 |
|
35 |
35 |
$59.13 |
| 1160F |
|
51 |
51 |
$15.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |
| 3725F |
|
15 |
15 |
$0.00 |