| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,337 |
2,717 |
$89K |
| 36415 |
Collection of venous blood by venipuncture |
964 |
905 |
$1K |
| 90688 |
|
30 |
29 |
$33.64 |
| G0008 |
Administration of influenza virus vaccine |
77 |
58 |
$29.75 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
17 |
12 |
$25.28 |
| 1100F |
|
103 |
69 |
$0.00 |
| 3288F |
|
106 |
72 |
$0.00 |
| 3725F |
|
39 |
27 |
$0.00 |
| 1101F |
|
104 |
70 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
97 |
69 |
$0.00 |