| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
59 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$6K |
| 99381 |
|
24 |
24 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
247 |
246 |
$3K |
| G9920 |
Screening performed and negative |
83 |
83 |
$2K |
| 90648 |
|
150 |
140 |
$1K |
| 90713 |
|
106 |
106 |
$954.00 |
| 90700 |
|
93 |
93 |
$837.00 |
| 90670 |
|
77 |
77 |
$693.00 |
| 90680 |
|
28 |
28 |
$252.00 |
| 92551 |
|
21 |
21 |
$199.50 |
| 92081 |
|
21 |
21 |
$0.00 |
| 97803 |
|
23 |
23 |
$0.00 |
| 3008F |
|
23 |
23 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
27 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
23 |
23 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |