| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,197 |
4,535 |
$359K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,512 |
2,200 |
$207K |
| 92552 |
|
453 |
451 |
$9K |
| 99401 |
|
314 |
263 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
490 |
453 |
$7K |
| 99406 |
|
519 |
515 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
523 |
518 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 99173 |
|
305 |
303 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
697 |
663 |
$950.09 |
| 3074F |
|
578 |
489 |
$580.17 |
| 3078F |
|
576 |
488 |
$580.17 |
| 90658 |
|
71 |
71 |
$351.53 |
| 99000 |
|
483 |
454 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |