| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,931 |
3,572 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
396 |
376 |
$16K |
| 99442 |
|
344 |
292 |
$14K |
| 99443 |
|
155 |
133 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
178 |
48 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$2K |
| 90682 |
|
33 |
33 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
72 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
20 |
20 |
$576.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$524.20 |
| 90686 |
|
17 |
17 |
$275.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$82.92 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
25 |
24 |
$0.00 |