| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,475 |
9,185 |
$808K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,823 |
7,541 |
$411K |
| 99199 |
Unlisted special service, procedure or report |
32,284 |
15,848 |
$145K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
55 |
$7K |
| 80305 |
|
190 |
137 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
162 |
$2K |
| 96127 |
|
510 |
467 |
$2K |
| 90688 |
|
155 |
149 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
65 |
$925.68 |
| 99409 |
|
14 |
13 |
$658.00 |
| 90686 |
|
39 |
35 |
$618.57 |
| 90658 |
|
33 |
33 |
$504.64 |
| 90674 |
|
25 |
22 |
$419.22 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
52 |
52 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
15 |
14 |
$0.00 |