| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,297 |
1,887 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
271 |
$9K |
| 90688 |
|
66 |
53 |
$999.25 |
| 0012A |
|
25 |
25 |
$981.80 |
| 0011A |
|
26 |
26 |
$770.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
15 |
$290.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
632 |
489 |
$75.08 |
| 3074F |
|
104 |
88 |
$0.36 |
| 3078F |
|
45 |
38 |
$0.14 |
| 3079F |
|
30 |
26 |
$0.12 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
43 |
37 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
424 |
371 |
$0.00 |