| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
224 |
196 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
145 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
159 |
106 |
$1K |
| 90686 |
|
51 |
51 |
$18.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
57 |
52 |
$0.50 |
| 92551 |
|
30 |
30 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
216 |
189 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
222 |
207 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |