| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,267 |
2,799 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254 |
233 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
89 |
$11K |
| 90688 |
|
220 |
218 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
175 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
90 |
85 |
$877.93 |
| 90756 |
|
14 |
14 |
$389.58 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$123.50 |
| 3078F |
|
28 |
26 |
$47.50 |
| 3074F |
|
28 |
26 |
$45.00 |
| 1159F |
|
42 |
40 |
$5.00 |
| 1160F |
|
42 |
40 |
$5.00 |
| 91301 |
|
12 |
12 |
$0.00 |