| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,674 |
2,205 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
1,263 |
$160K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
175 |
$3K |
| 90686 |
|
153 |
153 |
$3K |
| 0012A |
|
34 |
34 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
43 |
$984.12 |
| 0064A |
|
19 |
19 |
$760.00 |
| 0011A |
|
47 |
47 |
$656.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
64 |
63 |
$387.39 |
| 99072 |
|
39 |
37 |
$0.00 |
| 99000 |
|
18 |
18 |
$0.00 |