| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,074 |
908 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
753 |
665 |
$45K |
| 99404 |
|
425 |
315 |
$35K |
| 92587 |
|
111 |
111 |
$4K |
| 93000 |
|
106 |
104 |
$2K |
| 99402 |
|
16 |
15 |
$811.10 |
| 94010 |
|
12 |
12 |
$324.36 |
| 90756 |
|
18 |
18 |
$311.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
23 |
$125.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
35 |
25 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |