| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
591 |
333 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
109 |
$5K |
| 96150 |
|
22 |
22 |
$511.72 |
| 90686 |
|
21 |
21 |
$435.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
67 |
$312.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$65.00 |
| 99072 |
|
23 |
23 |
$0.00 |