| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,271 |
1,235 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$628.99 |
| 90686 |
|
60 |
46 |
$253.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$184.72 |
| 3078F |
|
47 |
46 |
$0.00 |
| 99499 |
|
14 |
14 |
$0.00 |
| 1000F |
|
159 |
157 |
$0.00 |
| 3008F |
|
976 |
960 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
73 |
71 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |
| 3074F |
|
58 |
57 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
16 |
16 |
$0.00 |