| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,726 |
2,580 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,726 |
1,674 |
$145K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
599 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,106 |
1,049 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
93 |
$3K |
| 90686 |
|
240 |
240 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$501.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$338.15 |
| 96127 |
|
73 |
71 |
$211.37 |
| 99406 |
|
24 |
24 |
$171.41 |
| 96160 |
|
43 |
43 |
$88.90 |
| 81002 |
|
13 |
13 |
$28.80 |
| 3074F |
|
2,624 |
2,516 |
$0.30 |
| 1034F |
|
869 |
834 |
$0.23 |
| 3078F |
|
1,964 |
1,897 |
$0.18 |
| 3079F |
|
1,141 |
1,107 |
$0.12 |
| 3077F |
|
29 |
28 |
$0.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
903 |
885 |
$0.00 |
| 1036F |
|
2,326 |
2,234 |
$0.00 |
| 2010F |
|
145 |
143 |
$0.00 |
| 3075F |
|
223 |
215 |
$0.00 |
| 2000F |
|
146 |
144 |
$0.00 |
| 1000F |
|
16 |
15 |
$0.00 |
| 1220F |
|
69 |
69 |
$0.00 |
| 3725F |
|
1,775 |
1,728 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
453 |
439 |
$0.00 |
| 1160F |
|
36 |
35 |
$0.00 |
| 1159F |
|
182 |
178 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |