| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,025 |
970 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
365 |
$20K |
| 99442 |
|
288 |
260 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
266 |
265 |
$2K |
| 90688 |
|
109 |
108 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
100 |
$957.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
39 |
$293.31 |
| 99441 |
|
12 |
12 |
$172.65 |
| 90686 |
|
41 |
41 |
$119.39 |
| 94760 |
|
31 |
31 |
$5.70 |
| 3078F |
|
121 |
118 |
$0.00 |
| 99080 |
|
18 |
15 |
$0.00 |
| 3074F |
|
352 |
338 |
$0.00 |