| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,370 |
1,186 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
381 |
274 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,028 |
939 |
$26K |
| 96156 |
|
552 |
540 |
$14K |
| 90756 |
|
54 |
54 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$712.54 |
| 90674 |
|
20 |
20 |
$607.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
135 |
$4.46 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
480 |
466 |
$1.50 |
| 3725F |
|
549 |
530 |
$0.00 |
| 1036F |
|
233 |
230 |
$0.00 |
| 1031F |
|
271 |
266 |
$0.00 |