| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
92 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226 |
197 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
51 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
30 |
$1K |
| 90686 |
|
39 |
39 |
$988.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$338.00 |