| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
2,758 |
2,328 |
$108K |
| 99354 |
|
573 |
479 |
$5K |
| 99417 |
Prolong home eval add 15m |
144 |
124 |
$5K |
| 99000 |
|
790 |
683 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$505.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
13 |
$58.00 |
| 82948 |
|
15 |
12 |
$38.07 |
| 36415 |
Collection of venous blood by venipuncture |
205 |
189 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
25 |
25 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
54 |
48 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18 |
15 |
$0.00 |