| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,839 |
1,813 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
806 |
799 |
$26K |
| G0008 |
Administration of influenza virus vaccine |
155 |
154 |
$2K |
| 90686 |
|
205 |
186 |
$868.00 |
| 99173 |
|
12 |
12 |
$39.60 |
| 1111F |
|
1,021 |
1,006 |
$0.00 |
| 3074F |
|
551 |
546 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
562 |
554 |
$0.00 |
| 3079F |
|
403 |
397 |
$0.00 |
| 3075F |
|
153 |
151 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
36 |
36 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
770 |
761 |
$0.00 |
| 3078F |
|
244 |
243 |
$0.00 |