| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
518 |
478 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$456.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$107.04 |
| 90686 |
|
14 |
14 |
$95.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
93 |
92 |
$50.00 |
| 3078F |
|
331 |
311 |
$0.00 |
| 1158F |
|
63 |
62 |
$0.00 |
| 3351F |
|
460 |
433 |
$0.00 |
| 1126F |
|
340 |
322 |
$0.00 |
| 3079F |
|
136 |
133 |
$0.00 |
| 1125F |
|
127 |
124 |
$0.00 |
| 3074F |
|
373 |
348 |
$0.00 |
| 3075F |
|
42 |
41 |
$0.00 |