| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
725 |
$40K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 96160 |
|
52 |
51 |
$765.92 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$311.77 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
122 |
$300.41 |
| 81003 |
|
207 |
206 |
$267.23 |
| 99050 |
|
22 |
21 |
$231.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$164.92 |
| 93000 |
|
13 |
13 |
$115.08 |
| 82947 |
|
18 |
17 |
$30.96 |
| 3008F |
|
616 |
556 |
$0.13 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 3725F |
|
16 |
16 |
$0.00 |