| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,084 |
4,425 |
$154K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
847 |
791 |
$20K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
746 |
706 |
$9K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
50 |
41 |
$2K |
| 81003 |
|
823 |
796 |
$1K |
| 96127 |
|
277 |
270 |
$822.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$580.56 |
| 90688 |
|
19 |
17 |
$423.70 |
| 90686 |
|
16 |
16 |
$358.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
72 |
$319.24 |
| 96151 |
|
12 |
12 |
$270.00 |
| 3075F |
|
59 |
58 |
$0.00 |
| 3079F |
|
182 |
172 |
$0.00 |
| 1000F |
|
793 |
689 |
$0.00 |
| 1036F |
|
911 |
800 |
$0.00 |
| 2001F |
|
154 |
146 |
$0.00 |
| 3074F |
|
351 |
328 |
$0.00 |
| 3351F |
|
70 |
63 |
$0.00 |
| 3008F |
|
154 |
146 |
$0.00 |
| 2000F |
|
135 |
130 |
$0.00 |
| 2010F |
|
154 |
146 |
$0.00 |
| 4010F |
|
13 |
12 |
$0.00 |
| 98960 |
|
734 |
640 |
$0.00 |
| 96160 |
|
59 |
52 |
$0.00 |
| 4004F |
|
31 |
30 |
$0.00 |
| 3077F |
|
57 |
55 |
$0.00 |
| 3078F |
|
327 |
305 |
$0.00 |
| 1160F |
|
128 |
121 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
29 |
29 |
$0.00 |
| 1159F |
|
129 |
122 |
$0.00 |
| 4274F |
|
23 |
23 |
$0.00 |