| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
125 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
73 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$840.28 |
| 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) |
550 |
518 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
234 |
216 |
$0.00 |
| 4004F |
|
120 |
112 |
$0.00 |
| 1124F |
|
104 |
94 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
228 |
204 |
$0.00 |
| 1036F |
|
460 |
430 |
$0.00 |
| 1123F |
|
94 |
84 |
$0.00 |