| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,216 |
7,100 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,346 |
1,341 |
$2K |
| 92551 |
|
141 |
141 |
$314.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
144 |
$242.72 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$200.00 |
| 90686 |
|
40 |
39 |
$190.04 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
112 |
112 |
$167.34 |
| 86580 |
|
50 |
50 |
$30.00 |
| 90688 |
|
13 |
13 |
$25.00 |
| 3008F |
|
34 |
33 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |