| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,454 |
4,470 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
498 |
451 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
163 |
162 |
$245.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$185.00 |
| 88150 |
|
18 |
18 |
$45.00 |
| 90688 |
|
12 |
12 |
$25.00 |
| 3078F |
|
316 |
313 |
$20.00 |
| 3008F |
|
348 |
344 |
$1.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
304 |
303 |
$0.00 |
| 3074F |
|
249 |
245 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
18 |
18 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
58 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 99397 |
|
17 |
17 |
$0.00 |