| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,662 |
2,290 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
680 |
661 |
$903.54 |
| 82962 |
|
322 |
279 |
$97.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$37.00 |
| 90686 |
|
48 |
48 |
$32.26 |
| 3725F |
|
162 |
162 |
$0.00 |
| 3078F |
|
334 |
312 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
168 |
168 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
68 |
$0.00 |
| 90756 |
|
15 |
15 |
$0.00 |
| 3074F |
|
289 |
276 |
$0.00 |
| 3008F |
|
132 |
132 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
176 |
176 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
56 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |