| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,092 |
13,613 |
$196K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
291 |
270 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
483 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
155 |
154 |
$5K |
| A4267 |
Contraceptive supply, condom, male, each |
381 |
381 |
$4K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
79 |
79 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
149 |
149 |
$2K |
| 93000 |
|
168 |
168 |
$2K |
| 81002 |
|
3,794 |
3,722 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
179 |
176 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
225 |
225 |
$842.45 |
| 82947 |
|
942 |
916 |
$668.69 |
| 90658 |
|
281 |
281 |
$622.52 |
| 81025 |
|
283 |
280 |
$326.39 |
| 36415 |
Collection of venous blood by venipuncture |
3,080 |
3,010 |
$227.78 |
| 92551 |
|
41 |
41 |
$198.47 |
| 1159F |
|
832 |
821 |
$165.76 |
| 1160F |
|
800 |
789 |
$165.76 |
| 85018 |
|
316 |
307 |
$121.23 |
| 99000 |
|
32 |
32 |
$115.40 |
| 1090F |
|
488 |
486 |
$83.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
93 |
$39.29 |
| 1170F |
|
573 |
571 |
$33.27 |
| 1036F |
|
572 |
572 |
$22.15 |
| 1126F |
|
234 |
233 |
$22.15 |
| 90651 |
|
12 |
12 |
$18.00 |
| 86580 |
|
12 |
12 |
$6.66 |
| 3078F |
|
136 |
136 |
$0.00 |
| 3725F |
|
260 |
260 |
$0.00 |
| 1003F |
|
256 |
255 |
$0.00 |
| 4004F |
|
204 |
204 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| 1100F |
|
348 |
347 |
$0.00 |
| 3288F |
|
27 |
27 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 0518F |
|
25 |
25 |
$0.00 |
| 1158F |
|
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
20 |
$0.00 |
| 3008F |
|
1,600 |
1,590 |
$0.00 |
| 1101F |
|
359 |
357 |
$0.00 |
| 3049F |
|
14 |
13 |
$0.00 |
| 1000F |
|
224 |
224 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |
| 1125F |
|
157 |
154 |
$0.00 |
| 3074F |
|
77 |
75 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3075F |
|
31 |
31 |
$0.00 |
| 3048F |
|
29 |
29 |
$0.00 |
| 1111F |
|
80 |
80 |
$0.00 |
| 4245F |
|
12 |
12 |
$0.00 |