| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,602 |
2,017 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,776 |
1,328 |
$106K |
| 99406 |
|
67 |
54 |
$697.95 |
| 96127 |
|
113 |
81 |
$428.61 |
| 99401 |
|
51 |
37 |
$293.52 |
| 99442 |
|
14 |
13 |
$174.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$116.40 |
| 99408 |
|
20 |
12 |
$102.90 |
| 96160 |
|
101 |
67 |
$16.62 |
| 1159F |
|
28 |
26 |
$0.00 |
| 1160F |
|
30 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
42 |
$0.00 |
| 3008F |
|
74 |
54 |
$0.00 |