| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,856 |
1,779 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
967 |
933 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
201 |
200 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$5K |
| 90688 |
|
50 |
50 |
$890.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$830.67 |
| 90686 |
|
27 |
27 |
$498.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
79 |
79 |
$0.00 |