| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,030 |
3,832 |
$245K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
201 |
196 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
931 |
915 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$4K |
| 90686 |
|
285 |
284 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$191.53 |
| 96127 |
|
34 |
33 |
$136.06 |
| 99051 |
|
30 |
30 |
$112.00 |
| 94760 |
|
110 |
107 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
14 |
14 |
$0.00 |