| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,706 |
1,482 |
$221K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,353 |
1,939 |
$213K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
235 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
181 |
$3K |
| 90688 |
|
101 |
101 |
$2K |
| 97803 |
|
544 |
532 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
129 |
129 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
654 |
645 |
$1K |
| 93000 |
|
213 |
210 |
$775.79 |
| 90674 |
|
21 |
21 |
$535.90 |
| 36415 |
Collection of venous blood by venipuncture |
442 |
436 |
$396.60 |
| 90686 |
|
12 |
12 |
$241.64 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30 |
30 |
$240.91 |
| 3078F |
|
103 |
83 |
$227.50 |
| 96127 |
|
127 |
127 |
$200.83 |
| 3074F |
|
96 |
78 |
$195.00 |
| 36410 |
|
68 |
63 |
$116.89 |
| 99000 |
|
946 |
918 |
$90.66 |
| G9275 |
Documentation that patient is a current non-tobacco user |
488 |
479 |
$24.00 |
| 1000F |
|
530 |
521 |
$0.00 |
| 1036F |
|
487 |
478 |
$0.00 |
| 3008F |
|
48 |
47 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
139 |
139 |
$0.00 |
| 3725F |
|
560 |
551 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
60 |
57 |
$0.00 |