| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,871 |
2,374 |
$340K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
545 |
502 |
$69K |
| 93923 |
|
167 |
141 |
$33K |
| 95923 |
|
165 |
140 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
146 |
$10K |
| 95921 |
|
157 |
137 |
$10K |
| 96127 |
|
378 |
362 |
$6K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
26 |
13 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
121 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
730 |
683 |
$2K |
| 99407 |
|
72 |
59 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| 20553 |
|
35 |
31 |
$1K |
| 90688 |
|
87 |
84 |
$1K |
| 76882 |
|
48 |
26 |
$978.03 |
| 99000 |
|
514 |
455 |
$709.80 |
| 90686 |
|
25 |
25 |
$381.15 |
| 95117 |
|
26 |
13 |
$280.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$219.38 |
| 81002 |
|
54 |
49 |
$152.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
15 |
$150.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
13 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
38 |
37 |
$0.00 |
| 99072 |
|
31 |
23 |
$0.00 |