| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,144 |
885 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
514 |
406 |
$24K |
| 99215 |
Prolong outpt/office vis |
21 |
14 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
121 |
106 |
$603.28 |
| 90686 |
|
67 |
53 |
$559.27 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
68 |
58 |
$332.19 |
| 80305 |
|
26 |
26 |
$214.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
29 |
$84.95 |
| G0008 |
Administration of influenza virus vaccine |
18 |
14 |
$0.00 |