| Code | Description | Claims | Beneficiaries | Total Paid |
| 90658 |
|
18 |
18 |
$287.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,459 |
2,330 |
$142.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
273 |
$113.84 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
856 |
808 |
$11.61 |
| 3074F |
|
161 |
160 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
116 |
114 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
44 |
43 |
$0.00 |
| 99442 |
|
965 |
905 |
$0.00 |
| 3078F |
|
167 |
167 |
$0.00 |