| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,645 |
1,476 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
768 |
701 |
$63K |
| 0001A |
|
37 |
37 |
$1K |
| 0002A |
|
27 |
27 |
$1K |
| 90686 |
|
82 |
82 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
97 |
$756.56 |
| 96127 |
|
27 |
27 |
$77.57 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$29.39 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
47 |
$0.00 |