| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
588 |
517 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
370 |
341 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$1K |
| 99000 |
|
190 |
183 |
$269.27 |
| H0001 |
Alcohol and/or drug assessment |
31 |
31 |
$161.14 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
25 |
$107.00 |
| 85018 |
|
13 |
13 |
$8.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
33 |
$0.00 |