| Code | Description | Claims | Beneficiaries | Total Paid |
| 99497 |
|
2,046 |
2,023 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,027 |
2,854 |
$9K |
| 90682 |
|
44 |
44 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
123 |
$472.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$369.26 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
34 |
$359.52 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$29.97 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
112 |
111 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$0.00 |
| 99401 |
|
17 |
17 |
$0.00 |