| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,474 |
4,922 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,228 |
1,090 |
$7K |
| 90750 |
|
54 |
54 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,436 |
2,329 |
$4K |
| 90756 |
|
209 |
208 |
$4K |
| 90688 |
|
185 |
183 |
$3K |
| 90686 |
|
146 |
144 |
$2K |
| 90674 |
|
48 |
48 |
$915.35 |
| 90662 |
|
12 |
12 |
$545.05 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$405.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
265 |
257 |
$230.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$50.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$35.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$33.42 |
| 36415 |
Collection of venous blood by venipuncture |
151 |
144 |
$8.94 |
| 3008F |
|
277 |
275 |
$0.00 |
| 3074F |
|
208 |
207 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
261 |
261 |
$0.00 |
| 3078F |
|
230 |
229 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
60 |
60 |
$0.00 |