| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,809 |
1,497 |
$84K |
| 99401 |
|
862 |
748 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
42 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$937.02 |
| 99443 |
|
30 |
27 |
$860.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
35 |
$476.38 |
| 93000 |
|
59 |
57 |
$422.91 |
| 90686 |
|
14 |
14 |
$243.64 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
107 |
$149.72 |
| 90662 |
|
14 |
14 |
$139.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
27 |
$70.89 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |
| 1036F |
|
28 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
13 |
$0.00 |