| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,060 |
937 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
602 |
559 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 94760 |
|
220 |
199 |
$575.52 |
| 90688 |
|
61 |
58 |
$542.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$513.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
18 |
$377.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
46 |
37 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
17 |
14 |
$0.00 |