| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
677 |
656 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
758 |
729 |
$41K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
100 |
$10K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
880 |
872 |
$4K |
| 90674 |
|
44 |
44 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$967.39 |
| 90672 |
|
20 |
20 |
$524.76 |
| 90756 |
|
14 |
14 |
$326.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$296.44 |
| 3288F |
|
42 |
41 |
$0.00 |
| 1101F |
|
40 |
39 |
$0.00 |