| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,498 |
2,308 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
297 |
281 |
$8K |
| 99215 |
Prolong outpt/office vis |
156 |
151 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
60 |
$1K |
| 90686 |
|
40 |
40 |
$1K |
| 90674 |
|
14 |
14 |
$431.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
244 |
239 |
$0.84 |
| 3725F |
|
247 |
244 |
$0.01 |
| 1031F |
|
14 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
72 |
$0.00 |