| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,326 |
1,126 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
901 |
$26K |
| 96156 |
|
472 |
472 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
42 |
$2K |
| 90674 |
|
65 |
65 |
$2K |
| 90756 |
|
47 |
47 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$966.20 |
| 99000 |
|
121 |
118 |
$330.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
156 |
155 |
$37.91 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
623 |
619 |
$3.14 |
| 1031F |
|
421 |
418 |
$0.00 |
| 1036F |
|
362 |
359 |
$0.00 |
| 3725F |
|
710 |
704 |
$0.00 |