| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,559 |
2,701 |
$264K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,545 |
2,129 |
$143K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
644 |
518 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
45 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
165 |
96 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
63 |
13 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 0002A |
|
26 |
22 |
$905.96 |
| 90686 |
|
112 |
54 |
$871.57 |
| 0001A |
|
23 |
20 |
$823.60 |
| 0011A |
|
14 |
14 |
$576.52 |
| 0012A |
|
20 |
14 |
$576.52 |
| 91301 |
|
37 |
31 |
$0.00 |
| 91300 |
|
56 |
48 |
$0.00 |