| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
495 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
682 |
$71K |
| 99442 |
|
29 |
27 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
159 |
155 |
$2K |
| 90688 |
|
34 |
34 |
$668.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$493.91 |
| 96127 |
|
27 |
27 |
$147.36 |
| 97803 |
|
69 |
66 |
$33.68 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$0.00 |
| 99000 |
|
170 |
167 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
77 |
77 |
$0.00 |