| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,151 |
3,804 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,193 |
1,152 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
121 |
$2K |
| 90688 |
|
81 |
79 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99406 |
|
46 |
42 |
$376.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$104.82 |
| 3074F |
|
4,551 |
4,019 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
366 |
360 |
$0.00 |
| 3079F |
|
1,399 |
1,285 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
1,115 |
968 |
$0.00 |
| 3075F |
|
224 |
207 |
$0.00 |
| 3078F |
|
3,813 |
3,396 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
31 |
30 |
$0.00 |