| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
33 |
29 |
$2K |
| 99385 |
|
49 |
49 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
243 |
232 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
114 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
91 |
$1K |
| 90715 |
|
34 |
33 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$738.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
51 |
$674.16 |
| 90686 |
|
30 |
29 |
$308.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
93 |
$239.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$234.42 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$226.38 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
21 |
21 |
$209.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
21 |
$144.40 |
| 99386 |
|
42 |
42 |
$133.32 |
| 81003 |
|
27 |
27 |
$53.87 |
| 99173 |
|
12 |
12 |
$39.80 |
| 92551 |
|
12 |
12 |
$11.57 |