| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
1,009 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
150 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
30 |
$1K |
| 92552 |
|
118 |
118 |
$1K |
| 99173 |
|
117 |
117 |
$776.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
30 |
$660.00 |
| G0008 |
Administration of influenza virus vaccine |
63 |
63 |
$658.22 |
| 93000 |
|
25 |
25 |
$396.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$293.76 |
| 90674 |
|
34 |
34 |
$231.00 |
| 2000F |
|
1,162 |
1,131 |
$0.02 |
| 1160F |
|
1,573 |
1,466 |
$0.01 |
| 4010F |
|
207 |
206 |
$0.00 |
| 3008F |
|
882 |
867 |
$0.00 |
| 1031F |
|
1,642 |
1,528 |
$0.00 |
| 3048F |
|
56 |
55 |
$0.00 |
| 3049F |
|
42 |
42 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 1159F |
|
1,568 |
1,460 |
$0.00 |
| 3078F |
|
381 |
379 |
$0.00 |