| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,651 |
1,479 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
467 |
422 |
$24K |
| 96127 |
|
139 |
136 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
149 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$913.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$617.11 |
| 90686 |
|
22 |
14 |
$184.49 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
322 |
308 |
$0.00 |
| 1159F |
|
205 |
191 |
$0.00 |
| 1160F |
|
345 |
323 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
436 |
403 |
$0.00 |