| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,092 |
1,030 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,800 |
3,267 |
$252K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
173 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
81 |
$18K |
| J3490 |
Unclassified drugs |
26 |
26 |
$3K |
| 99000 |
|
203 |
203 |
$693.92 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$375.00 |
| 36415 |
Collection of venous blood by venipuncture |
93 |
91 |
$129.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
127 |
127 |
$1.00 |
| 3008F |
|
184 |
184 |
$0.00 |