| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,054 |
11,604 |
$303K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,285 |
5,722 |
$114K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
219 |
219 |
$8K |
| 90686 |
|
81 |
79 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
108 |
$613.44 |
| 3074F |
|
243 |
222 |
$357.50 |
| 3078F |
|
231 |
210 |
$330.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
241 |
238 |
$150.53 |
| 1160F |
|
246 |
221 |
$140.00 |
| 99497 |
|
12 |
12 |
$108.81 |
| 93000 |
|
15 |
12 |
$94.10 |
| 96127 |
|
71 |
71 |
$53.29 |
| 1125F |
|
54 |
53 |
$10.00 |
| 1170F |
|
54 |
53 |
$10.00 |
| 1158F |
|
25 |
25 |
$0.00 |