| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
419 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
225 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$238.08 |
| 90686 |
|
12 |
12 |
$203.76 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$182.78 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$154.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$136.24 |