| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
123 |
46 |
$11K |
| 0502F |
|
151 |
117 |
$10K |
| 96160 |
|
59 |
45 |
$882.20 |
| 96127 |
|
63 |
31 |
$621.01 |
| 0518F |
|
25 |
13 |
$0.00 |
| 4274F |
|
24 |
12 |
$0.00 |
| 3078F |
|
151 |
74 |
$0.00 |
| 3288F |
|
25 |
13 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
30 |
16 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
155 |
76 |
$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) |
12 |
12 |
$0.00 |
| 1090F |
|
25 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
151 |
74 |
$0.00 |
| 3074F |
|
155 |
76 |
$0.00 |
| 3351F |
|
27 |
13 |
$0.00 |
| 1101F |
|
25 |
13 |
$0.00 |
| 1036F |
|
32 |
18 |
$0.00 |
| 1123F |
|
27 |
15 |
$0.00 |
| 1220F |
|
30 |
16 |
$0.00 |