| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,199 |
1,163 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
539 |
515 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
33 |
$343.00 |
| 92551 |
|
14 |
14 |
$52.80 |
| 99173 |
|
13 |
13 |
$39.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
194 |
194 |
$0.00 |
| 90674 |
|
87 |
87 |
$0.00 |
| 90661 |
|
52 |
52 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$0.00 |