| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,457 |
3,101 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
381 |
$8K |
| 99349 |
|
242 |
211 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
265 |
$3K |
| 90688 |
|
260 |
246 |
$3K |
| 0124A |
|
22 |
15 |
$331.52 |
| 90658 |
|
34 |
34 |
$289.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
103 |
97 |
$217.84 |
| 90686 |
|
40 |
34 |
$190.55 |
| G0008 |
Administration of influenza virus vaccine |
190 |
174 |
$87.54 |
| 91312 |
|
21 |
14 |
$5.00 |
| 1160F |
|
16 |
15 |
$0.00 |
| 1159F |
|
16 |
15 |
$0.00 |
| 3008F |
|
50 |
48 |
$0.00 |
| 3074F |
|
29 |
29 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |