| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,938 |
3,590 |
$226K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
834 |
795 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
330 |
307 |
$13K |
| 99441 |
|
316 |
273 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
120 |
$11K |
| 99442 |
|
96 |
85 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
66 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 90756 |
|
36 |
36 |
$1K |
| 99406 |
|
18 |
17 |
$202.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$197.60 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
47 |
$102.16 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
124 |
$20.52 |
| 99080 |
|
80 |
78 |
$0.00 |