| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,732 |
2,415 |
$220K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
105 |
$15K |
| 99215 |
Prolong outpt/office vis |
175 |
159 |
$14K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,452 |
1,294 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
200 |
$11K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
392 |
346 |
$10K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 99406 |
|
218 |
172 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
41 |
$2K |
| 90688 |
|
103 |
84 |
$982.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
89 |
$950.06 |
| 96127 |
|
229 |
212 |
$908.65 |
| 94760 |
|
357 |
314 |
$768.32 |
| 99443 |
|
13 |
13 |
$496.98 |
| 94729 |
|
14 |
13 |
$437.46 |
| 94060 |
|
14 |
13 |
$396.00 |
| 94010 |
|
14 |
12 |
$350.81 |
| 94727 |
|
14 |
13 |
$345.24 |
| 93000 |
|
12 |
12 |
$240.02 |