| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
884 |
758 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
166 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 90682 |
|
12 |
12 |
$550.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
72 |
$286.20 |
| 87428 |
|
22 |
17 |
$73.49 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
152 |
145 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
200 |
191 |
$0.00 |