| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,419 |
3,014 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,153 |
1,973 |
$70K |
| 96156 |
|
140 |
138 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
185 |
182 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 90674 |
|
30 |
30 |
$905.18 |
| 90686 |
|
13 |
13 |
$340.62 |
| 93000 |
|
12 |
12 |
$316.83 |
| 96150 |
|
29 |
29 |
$162.30 |
| 96151 |
|
14 |
14 |
$43.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
62 |
$38.58 |
| 99000 |
|
26 |
26 |
$14.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
818 |
804 |
$2.88 |
| 1036F |
|
578 |
565 |
$0.00 |
| 1031F |
|
710 |
698 |
$0.00 |
| 3008F |
|
296 |
295 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
41 |
$0.00 |
| 3725F |
|
863 |
846 |
$0.00 |