| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
956 |
817 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
116 |
$672.69 |
| 99397 |
|
55 |
44 |
$548.11 |
| 96127 |
|
340 |
279 |
$43.44 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
25 |
18 |
$14.15 |
| G9275 |
Documentation that patient is a current non-tobacco user |
292 |
236 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
314 |
281 |
$0.00 |
| 1036F |
|
242 |
213 |
$0.00 |
| 1123F |
|
16 |
15 |
$0.00 |
| 3074F |
|
14 |
12 |
$0.00 |
| 3078F |
|
113 |
82 |
$0.00 |
| 1124F |
|
74 |
49 |
$0.00 |