| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,715 |
3,983 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
12 |
$205.16 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
12 |
12 |
$152.64 |
| 99000 |
|
38 |
38 |
$137.46 |
| 86580 |
|
25 |
25 |
$108.20 |
| 92552 |
|
30 |
30 |
$75.00 |
| 85018 |
|
13 |
13 |
$12.30 |
| 83026 |
|
31 |
31 |
$10.84 |
| 90658 |
|
13 |
13 |
$9.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
177 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 3008F |
|
135 |
135 |
$0.00 |
| 3074F |
|
18 |
17 |
$0.00 |
| 96127 |
|
29 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
60 |
60 |
$0.00 |
| 99401 |
|
110 |
109 |
$0.00 |