| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,973 |
3,122 |
$343K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
992 |
786 |
$45K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
103 |
91 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
52 |
$8K |
| 96401 |
|
21 |
12 |
$532.14 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
292 |
267 |
$71.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
25 |
$41.85 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$10.00 |
| 20610 |
|
22 |
12 |
$0.00 |