| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,028 |
1,663 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
620 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
361 |
318 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
44 |
$588.00 |
| 90686 |
|
32 |
31 |
$143.71 |
| 90656 |
|
17 |
16 |
$67.05 |
| 3078F |
|
976 |
815 |
$0.00 |
| 1160F |
|
1,652 |
1,352 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
12 |
$0.00 |
| 3074F |
|
991 |
836 |
$0.00 |
| 3079F |
|
50 |
41 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
38 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |