| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,241 |
1,150 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,275 |
1,163 |
$87K |
| 99215 |
Prolong outpt/office vis |
138 |
138 |
$21K |
| 90756 |
|
119 |
118 |
$3K |
| 93000 |
|
148 |
146 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99401 |
|
59 |
59 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
122 |
122 |
$904.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$715.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$176.77 |