| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,607 |
6,190 |
$7K |
| 90686 |
|
49 |
49 |
$190.14 |
| 90658 |
|
85 |
85 |
$114.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$87.00 |
| 3074F |
|
1,821 |
1,716 |
$0.00 |
| 3075F |
|
117 |
114 |
$0.00 |
| 3061F |
|
192 |
189 |
$0.00 |
| 3017F |
|
108 |
105 |
$0.00 |
| 3079F |
|
666 |
644 |
$0.00 |
| 3014F |
|
59 |
57 |
$0.00 |
| 3044F |
|
222 |
215 |
$0.00 |
| 3080F |
|
44 |
43 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
57 |
$0.00 |
| 3008F |
|
1,867 |
1,758 |
$0.00 |
| 3078F |
|
1,465 |
1,384 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$0.00 |
| 3077F |
|
79 |
77 |
$0.00 |