| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
306 |
$5K |
| 99401 |
|
258 |
216 |
$979.07 |
| 1111F |
|
296 |
265 |
$579.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
431 |
374 |
$420.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$193.80 |
| 3074F |
|
238 |
217 |
$125.00 |
| 99442 |
|
15 |
14 |
$117.40 |
| 3078F |
|
202 |
182 |
$114.00 |
| 99443 |
|
15 |
14 |
$66.45 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
71 |
$56.95 |
| 3079F |
|
40 |
38 |
$22.50 |
| 99000 |
|
13 |
12 |
$0.55 |
| 0521F |
|
127 |
118 |
$0.00 |
| 1160F |
|
150 |
135 |
$0.00 |
| 1159F |
|
271 |
236 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17 |
14 |
$0.00 |
| 1157F |
|
102 |
96 |
$0.00 |
| 1126F |
|
188 |
166 |
$0.00 |
| 3008F |
|
58 |
53 |
$0.00 |