| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
109 |
$0.00 |
| 2000F |
|
44 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
28 |
$0.00 |
| 99173 |
|
42 |
16 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
42 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
17 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
23 |
$0.00 |
| 1160F |
|
88 |
32 |
$0.00 |
| 96160 |
|
98 |
34 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
14 |
$0.00 |
| 92552 |
|
42 |
16 |
$0.00 |
| 3725F |
|
104 |
36 |
$0.00 |
| 1159F |
|
88 |
32 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
377 |
165 |
$0.00 |