| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,924 |
1,604 |
$176K |
| 99215 |
Prolong outpt/office vis |
710 |
608 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
148 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
46 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$593.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$159.32 |