| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,632 |
1,453 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
614 |
$29K |
| 94010 |
|
187 |
187 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
54 |
$3K |
| 93000 |
|
238 |
238 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
93 |
$1K |
| 90686 |
|
43 |
43 |
$898.11 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
43 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |