| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,248 |
2,866 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
790 |
$24K |
| 93000 |
|
100 |
99 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
130 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$2K |
| 90686 |
|
68 |
68 |
$1K |
| 94010 |
|
42 |
42 |
$1K |
| 90688 |
|
12 |
12 |
$189.24 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$5.11 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |