| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
783 |
709 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
84 |
$3K |
| 93000 |
|
66 |
65 |
$214.60 |
| 90686 |
|
52 |
52 |
$179.75 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$62.22 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$45.75 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$7.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |