| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,367 |
1,284 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
615 |
607 |
$32K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$629.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$312.00 |
| 92551 |
|
38 |
38 |
$249.21 |
| 99173 |
|
38 |
38 |
$175.80 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$132.00 |
| 90686 |
|
34 |
32 |
$77.00 |
| 99080 |
|
542 |
539 |
$0.24 |
| 3008F |
|
1,979 |
1,896 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
161 |
161 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
39 |
39 |
$0.00 |
| 99499 |
|
182 |
180 |
$0.00 |