| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
414 |
414 |
$329.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,993 |
4,208 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,490 |
$0.00 |
| 93000 |
|
13 |
13 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 99443 |
|
36 |
33 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
21 |
$0.00 |