| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,254 |
4,813 |
$340K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
136 |
135 |
$13K |
| 99406 |
|
1,555 |
1,470 |
$13K |
| 90686 |
|
102 |
100 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
56 |
$941.88 |
| 90658 |
|
46 |
46 |
$884.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
48 |
$388.85 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
19 |
19 |
$366.20 |
| 99401 |
|
12 |
12 |
$285.44 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$160.30 |
| G8432 |
Depression screening not documented, reason not given |
511 |
467 |
$12.50 |
| 3079F |
|
1,643 |
1,569 |
$0.09 |
| 3074F |
|
2,747 |
2,522 |
$0.07 |
| 3078F |
|
1,836 |
1,712 |
$0.04 |
| 3075F |
|
280 |
269 |
$0.01 |
| 3077F |
|
155 |
151 |
$0.00 |
| 3008F |
|
131 |
127 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
15 |
15 |
$0.00 |