| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
118 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
138 |
131 |
$4K |
| 93000 |
|
223 |
223 |
$3K |
| 92552 |
|
69 |
69 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
246 |
239 |
$817.55 |
| 96127 |
|
98 |
98 |
$341.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$264.21 |
| 90686 |
|
24 |
24 |
$252.90 |
| 90688 |
|
12 |
12 |
$124.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$115.38 |
| 81002 |
|
25 |
25 |
$34.00 |
| 3008F |
|
196 |
190 |
$0.00 |
| 1126F |
|
70 |
69 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 3074F |
|
98 |
95 |
$0.00 |
| 3044F |
|
25 |
25 |
$0.00 |
| 2010F |
|
62 |
57 |
$0.00 |
| 1160F |
|
75 |
70 |
$0.00 |
| 3078F |
|
100 |
97 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |