| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,213 |
2,039 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
63 |
$832.19 |
| 90686 |
|
42 |
42 |
$725.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
108 |
$500.00 |
| 90688 |
|
32 |
31 |
$175.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$140.00 |
| 1159F |
|
101 |
99 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
187 |
174 |
$0.00 |
| 3078F |
|
389 |
372 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 1160F |
|
101 |
99 |
$0.00 |
| 3008F |
|
848 |
839 |
$0.00 |
| 3074F |
|
391 |
374 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 3079F |
|
28 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$0.00 |