| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,109 |
3,750 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,602 |
2,343 |
$104K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
325 |
$5K |
| 90686 |
|
273 |
266 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
50 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
35 |
34 |
$2K |
| 96127 |
|
171 |
163 |
$514.60 |
| 99406 |
|
53 |
38 |
$193.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
109 |
100 |
$87.05 |