| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,421 |
3,790 |
$379K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,537 |
1,285 |
$88K |
| 99215 |
Prolong outpt/office vis |
253 |
226 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
87 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
29 |
29 |
$893.06 |
| 90658 |
|
77 |
76 |
$731.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$289.17 |
| 96127 |
|
16 |
16 |
$67.20 |