| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,212 |
1,126 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
268 |
$7K |
| 90686 |
|
110 |
110 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
515 |
511 |
$0.94 |
| 3725F |
|
537 |
534 |
$0.00 |
| 1031F |
|
420 |
417 |
$0.00 |
| 1036F |
|
380 |
377 |
$0.00 |
| 3008F |
|
359 |
358 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
97 |
96 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
130 |
$0.00 |