| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
228 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
267 |
$3K |
| 97802 |
|
156 |
156 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$999.54 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$412.08 |
| 90688 |
|
29 |
29 |
$189.00 |
| 90670 |
|
30 |
30 |
$189.00 |
| 90685 |
|
46 |
46 |
$189.00 |
| 90723 |
|
12 |
12 |
$81.00 |
| 90647 |
|
12 |
12 |
$63.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$42.00 |
| 82947 |
|
48 |
41 |
$29.43 |
| G9275 |
Documentation that patient is a current non-tobacco user |
25 |
22 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
91 |
89 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 3008F |
|
306 |
290 |
$0.00 |
| 1000F |
|
173 |
161 |
$0.00 |
| 36416 |
|
51 |
45 |
$0.00 |
| 1036F |
|
41 |
40 |
$0.00 |
| 1033F |
|
113 |
111 |
$0.00 |
| 4120F |
|
35 |
35 |
$0.00 |