| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
539 |
453 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
243 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
191 |
168 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$823.80 |
| 90686 |
|
30 |
30 |
$456.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$165.83 |
| 99000 |
|
307 |
295 |
$68.65 |
| 4004F |
|
53 |
50 |
$0.00 |
| 1036F |
|
226 |
215 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
353 |
335 |
$0.00 |