| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,976 |
5,570 |
$602K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,777 |
5,334 |
$432K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
142 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
145 |
$2K |
| 90658 |
|
90 |
90 |
$1K |
| 90688 |
|
77 |
77 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$369.01 |
| 90686 |
|
13 |
13 |
$135.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
298 |
294 |
$1.35 |
| 3079F |
|
26 |
26 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
14 |
13 |
$0.00 |
| 3074F |
|
59 |
57 |
$0.00 |
| 99080 |
|
3,684 |
3,332 |
$0.00 |