| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,184 |
2,716 |
$101K |
| 99215 |
Prolong outpt/office vis |
404 |
336 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
497 |
415 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
110 |
97 |
$515.06 |
| 99397 |
|
25 |
23 |
$214.95 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
31 |
26 |
$13.20 |
| 3078F |
|
972 |
728 |
$0.50 |
| 3074F |
|
798 |
621 |
$0.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
34 |
$0.14 |
| 3075F |
|
276 |
189 |
$0.09 |
| 3079F |
|
41 |
31 |
$0.01 |
| 1160F |
|
133 |
94 |
$0.00 |
| 1159F |
|
134 |
95 |
$0.00 |
| 2000F |
|
273 |
175 |
$0.00 |
| 1126F |
|
30 |
20 |
$0.00 |
| 1170F |
|
133 |
95 |
$0.00 |
| 3048F |
|
222 |
170 |
$0.00 |
| 1157F |
|
80 |
53 |
$0.00 |
| 90686 |
|
21 |
20 |
$0.00 |
| 1125F |
|
61 |
39 |
$0.00 |
| 4010F |
|
26 |
13 |
$0.00 |