| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
872 |
818 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
803 |
715 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
169 |
162 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
94 |
$7K |
| 99215 |
Prolong outpt/office vis |
34 |
31 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
39 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
27 |
$3K |
| 96127 |
|
127 |
121 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
82 |
79 |
$1K |
| 90620 |
|
28 |
25 |
$467.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
33 |
$400.12 |
| 81002 |
|
153 |
137 |
$397.80 |
| 90619 |
|
19 |
17 |
$317.49 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
56 |
$23.54 |
| 3074F |
|
594 |
554 |
$0.00 |
| 3008F |
|
918 |
854 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |