| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
157 |
153 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,461 |
1,353 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
249 |
244 |
$970.00 |
| 90756 |
|
25 |
25 |
$405.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
52 |
52 |
$124.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,309 |
1,272 |
$10.00 |
| 3008F |
|
363 |
363 |
$10.00 |
| 3079F |
|
40 |
40 |
$0.00 |
| 3074F |
|
264 |
262 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
116 |
116 |
$0.00 |
| 3078F |
|
257 |
254 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
58 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
113 |
113 |
$0.00 |
| 3077F |
|
47 |
47 |
$0.00 |
| 99442 |
|
14 |
14 |
$0.00 |