| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
957 |
753 |
$56K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
246 |
228 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
218 |
211 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$287.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$233.12 |
| G9275 |
Documentation that patient is a current non-tobacco user |
13 |
12 |
$28.00 |
| 1000F |
|
14 |
13 |
$20.00 |
| 1036F |
|
13 |
12 |
$20.00 |
| 3725F |
|
77 |
73 |
$10.00 |
| 3074F |
|
216 |
197 |
$7.50 |
| 3078F |
|
253 |
225 |
$7.50 |
| 99000 |
|
12 |
12 |
$0.00 |
| 3075F |
|
26 |
25 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
22 |
21 |
$0.00 |