| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,288 |
2,772 |
$111K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
110 |
108 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
532 |
247 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,191 |
1,090 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
281 |
253 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 1159F |
|
43 |
43 |
$0.00 |
| 1160F |
|
43 |
43 |
$0.00 |
| 1126F |
|
25 |
25 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |