| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,249 |
5,687 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$57.46 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
82 |
$53.82 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
444 |
437 |
$38.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
357 |
349 |
$28.80 |
| 4004F |
|
836 |
830 |
$25.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,078 |
1,064 |
$12.89 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
102 |
$0.00 |
| 81003 |
|
71 |
66 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
108 |
107 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
120 |
113 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
21 |
$0.00 |
| 90658 |
|
51 |
51 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
67 |
65 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
97 |
94 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
653 |
625 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
825 |
817 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |