| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
323 |
315 |
$829.81 |
| 90688 |
|
12 |
12 |
$243.60 |
| 90658 |
|
14 |
14 |
$159.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
40 |
40 |
$71.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$61.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$58.41 |