| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,149 |
938 |
$233K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
246 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
217 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
202 |
$41K |
| 99173 |
|
263 |
251 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,258 |
1,095 |
$1K |
| 81025 |
|
83 |
68 |
$223.53 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
73 |
72 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
39 |
34 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$0.00 |
| 90688 |
|
24 |
23 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
77 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
39 |
$0.00 |