| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
136 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$370.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$62.80 |
| 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) |
20 |
20 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
17 |
17 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
20 |
20 |
$0.00 |