| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
443 |
400 |
$227.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$70.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
146 |
130 |
$68.55 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
257 |
253 |
$8.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
148 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
30 |
29 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
153 |
153 |
$0.00 |
| 3008F |
|
198 |
191 |
$0.00 |