| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,309 |
2,597 |
$10K |
| 99397 |
|
91 |
87 |
$144.91 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
264 |
244 |
$125.71 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
57 |
55 |
$47.34 |
| 82962 |
|
17 |
17 |
$12.50 |
| 3078F |
|
830 |
754 |
$0.00 |
| 1159F |
|
480 |
442 |
$0.00 |
| 1160F |
|
472 |
435 |
$0.00 |
| 3725F |
|
55 |
50 |
$0.00 |
| 1158F |
|
180 |
163 |
$0.00 |
| 99442 |
|
69 |
62 |
$0.00 |
| 82948 |
|
118 |
109 |
$0.00 |
| 99497 |
|
56 |
56 |
$0.00 |
| 1170F |
|
453 |
417 |
$0.00 |
| 3075F |
|
266 |
257 |
$0.00 |
| 3008F |
|
762 |
715 |
$0.00 |
| 3074F |
|
127 |
114 |
$0.00 |
| 1126F |
|
188 |
172 |
$0.00 |
| 1036F |
|
55 |
55 |
$0.00 |
| 1157F |
|
54 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
30 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |