| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,778 |
3,301 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,187 |
1,159 |
$102K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
251 |
250 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
143 |
$10K |
| 99397 |
|
96 |
96 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
369 |
366 |
$5K |
| 90674 |
|
163 |
162 |
$4K |
| 90661 |
|
78 |
78 |
$3K |
| 99442 |
|
53 |
47 |
$3K |
| 90756 |
|
84 |
84 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 90688 |
|
23 |
23 |
$440.91 |
| 36415 |
Collection of venous blood by venipuncture |
1,368 |
1,361 |
$281.95 |
| 3074F |
|
270 |
244 |
$57.50 |
| 3078F |
|
268 |
235 |
$37.50 |
| 3079F |
|
122 |
115 |
$30.00 |
| 87110 |
|
29 |
29 |
$19.35 |
| 3075F |
|
110 |
100 |
$17.50 |
| 2028F |
|
27 |
25 |
$0.00 |
| 3725F |
|
254 |
252 |
$0.00 |
| 99429 |
|
180 |
163 |
$0.00 |
| 3008F |
|
682 |
652 |
$0.00 |
| 1036F |
|
101 |
101 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
119 |
118 |
$0.00 |
| 1000F |
|
106 |
106 |
$0.00 |
| 3292F |
|
26 |
26 |
$0.00 |