| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,912 |
2,664 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,609 |
1,518 |
$8K |
| 90756 |
|
271 |
269 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
309 |
$1K |
| 90658 |
|
25 |
24 |
$220.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
243 |
240 |
$155.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
55 |
$100.88 |
| 90688 |
|
17 |
17 |
$100.00 |
| 3008F |
|
278 |
276 |
$0.30 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
314 |
314 |
$0.00 |
| 3074F |
|
223 |
219 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |
| 3078F |
|
247 |
241 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
84 |
84 |
$0.00 |
| 99072 |
|
15 |
15 |
$0.00 |