| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,686 |
10,201 |
$752K |
| 99215 |
Prolong outpt/office vis |
2,130 |
2,085 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,517 |
1,329 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
136 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
316 |
$6K |
| 90686 |
|
223 |
215 |
$3K |
| 90756 |
|
93 |
79 |
$1K |
| 90688 |
|
70 |
63 |
$755.95 |
| 90656 |
|
24 |
24 |
$375.14 |
| 90674 |
|
14 |
13 |
$245.79 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
30 |
29 |
$57.76 |
| G0008 |
Administration of influenza virus vaccine |
21 |
14 |
$0.00 |