| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
43 |
43 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
458 |
447 |
$620.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$430.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
645 |
571 |
$159.80 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
14 |
$0.00 |
| 3074F |
|
86 |
86 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
136 |
136 |
$0.00 |
| 3008F |
|
168 |
168 |
$0.00 |
| 3078F |
|
73 |
73 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
66 |
66 |
$0.00 |