| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
587 |
534 |
$14K |
| 96156 |
|
118 |
118 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$915.20 |
| 90756 |
|
18 |
17 |
$558.11 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
81 |
81 |
$0.59 |
| 3725F |
|
89 |
88 |
$0.00 |
| 1036F |
|
42 |
42 |
$0.00 |
| 1031F |
|
45 |
45 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$0.00 |