| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,134 |
1,001 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
66 |
$1K |
| 90674 |
|
15 |
15 |
$452.59 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
176 |
173 |
$0.81 |
| 3725F |
|
212 |
209 |
$0.00 |
| 1031F |
|
105 |
104 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |
| 1036F |
|
61 |
60 |
$0.00 |