| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,760 |
2,447 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,878 |
1,659 |
$68K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,438 |
2,103 |
$56K |
| 99215 |
Prolong outpt/office vis |
366 |
326 |
$12K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
294 |
37 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
71 |
$5K |
| 93923 |
|
57 |
56 |
$4K |
| 95912 |
|
50 |
44 |
$3K |
| 95913 |
|
30 |
29 |
$2K |
| 99397 |
|
151 |
145 |
$1K |
| 95923 |
|
29 |
29 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
14 |
$985.72 |
| 93000 |
|
80 |
76 |
$788.40 |
| 92548 |
|
14 |
14 |
$709.13 |
| 96160 |
|
259 |
257 |
$418.54 |
| 96127 |
|
112 |
110 |
$375.54 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
98 |
$323.27 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
146 |
133 |
$76.19 |
| 99442 |
|
36 |
32 |
$67.52 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$12.98 |
| 99499 |
|
305 |
201 |
$0.06 |
| 3078F |
|
2,225 |
1,700 |
$0.01 |
| 3725F |
|
140 |
121 |
$0.00 |
| 3077F |
|
346 |
279 |
$0.00 |
| 1494F |
|
113 |
104 |
$0.00 |
| 1159F |
|
94 |
81 |
$0.00 |
| 1003F |
|
111 |
100 |
$0.00 |
| 1160F |
|
94 |
81 |
$0.00 |
| 1090F |
|
104 |
97 |
$0.00 |
| 0518F |
|
13 |
13 |
$0.00 |
| 3095F |
|
15 |
14 |
$0.00 |
| 1158F |
|
110 |
101 |
$0.00 |
| 3075F |
|
791 |
617 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
141 |
133 |
$0.00 |
| 3008F |
|
3,600 |
2,601 |
$0.00 |
| 3074F |
|
2,431 |
1,845 |
$0.00 |
| 1101F |
|
97 |
88 |
$0.00 |
| 3079F |
|
1,372 |
1,042 |
$0.00 |
| 4037F |
|
28 |
27 |
$0.00 |
| 3017F |
|
48 |
46 |
$0.00 |
| 1170F |
|
110 |
101 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 82962 |
|
21 |
17 |
$0.00 |
| 3044F |
|
44 |
41 |
$0.00 |
| 1126F |
|
39 |
38 |
$0.00 |