| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,028 |
5,825 |
$247K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,625 |
1,622 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
633 |
$35K |
| 94010 |
|
1,601 |
1,585 |
$28K |
| 94664 |
|
369 |
367 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
67 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 90682 |
|
21 |
21 |
$262.41 |
| 90688 |
|
16 |
16 |
$152.52 |
| 90662 |
|
61 |
58 |
$90.41 |
| G0008 |
Administration of influenza virus vaccine |
166 |
163 |
$76.61 |
| 99451 |
|
57 |
57 |
$42.90 |
| 94760 |
|
66 |
66 |
$15.26 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$2.70 |
| G9275 |
Documentation that patient is a current non-tobacco user |
67 |
67 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
81 |
80 |
$0.00 |
| 1000F |
|
93 |
92 |
$0.00 |
| 1036F |
|
66 |
66 |
$0.00 |
| 1101F |
|
28 |
28 |
$0.00 |