| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,449 |
3,994 |
$359K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,675 |
2,477 |
$173K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
77 |
77 |
$7K |
| 99443 |
|
41 |
39 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
27 |
$2K |
| 90688 |
|
79 |
75 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
114 |
111 |
$887.24 |
| 90686 |
|
34 |
34 |
$669.59 |
| 3079F |
|
3,027 |
2,730 |
$3.20 |
| 3075F |
|
2,356 |
2,143 |
$2.64 |
| 3074F |
|
1,947 |
1,745 |
$2.39 |
| 3078F |
|
1,634 |
1,463 |
$1.96 |
| 3077F |
|
665 |
613 |
$0.71 |
| 3080F |
|
180 |
166 |
$0.21 |
| G8432 |
Depression screening not documented, reason not given |
1,244 |
1,147 |
$0.00 |