| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,093 |
921 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
42 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
123 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$715.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
17 |
$455.30 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
681 |
565 |
$0.00 |
| 1160F |
|
554 |
460 |
$0.00 |
| 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) |
464 |
414 |
$0.00 |
| 1159F |
|
301 |
263 |
$0.00 |