| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99310 |
Prolong nursin fac eval 15m |
224 |
224 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,537 |
3,752 |
$10K |
| 99215 |
Prolong outpt/office vis |
662 |
658 |
$4K |
| 0064A |
|
12 |
12 |
$480.00 |
| 90688 |
|
25 |
25 |
$361.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$194.01 |
| 90756 |
|
12 |
12 |
$65.00 |
| 3078F |
|
78 |
77 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$0.00 |
| 3008F |
|
78 |
77 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
89 |
89 |
$0.00 |
| 3074F |
|
71 |
69 |
$0.00 |