| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,382 |
9,750 |
$942K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,313 |
1,209 |
$81K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
688 |
688 |
$71K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
271 |
270 |
$25K |
| 99406 |
|
136 |
128 |
$1K |
| 90686 |
|
86 |
86 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$333.28 |
| 3078F |
|
389 |
384 |
$0.00 |
| 3077F |
|
53 |
48 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
36 |
$0.00 |
| 3074F |
|
429 |
420 |
$0.00 |
| 3008F |
|
112 |
109 |
$0.00 |
| 3079F |
|
118 |
115 |
$0.00 |
| 3080F |
|
40 |
39 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3075F |
|
72 |
72 |
$0.00 |
| 1157F |
|
12 |
12 |
$0.00 |
| 1170F |
|
28 |
27 |
$0.00 |