| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,946 |
2,675 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
319 |
279 |
$7K |
| 90686 |
|
68 |
67 |
$2K |
| 90674 |
|
54 |
54 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
18 |
$1K |
| 90662 |
|
12 |
12 |
$701.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$235.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
306 |
302 |
$33.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
286 |
286 |
$1.05 |
| 3008F |
|
27 |
27 |
$0.00 |
| 1036F |
|
156 |
156 |
$0.00 |
| 1031F |
|
192 |
192 |
$0.00 |
| 1101F |
|
28 |
28 |
$0.00 |
| 1170F |
|
26 |
26 |
$0.00 |
| 1158F |
|
26 |
26 |
$0.00 |
| 3725F |
|
309 |
308 |
$0.00 |
| 3288F |
|
28 |
28 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |