| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
287 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
38 |
$2K |
| 93000 |
|
31 |
31 |
$588.56 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
75 |
70 |
$492.17 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$264.00 |
| 90686 |
|
25 |
25 |
$143.00 |
| 3074F |
|
147 |
140 |
$0.00 |
| 3079F |
|
65 |
62 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
37 |
$0.00 |
| 3008F |
|
39 |
38 |
$0.00 |
| 2028F |
|
59 |
58 |
$0.00 |
| 3078F |
|
115 |
109 |
$0.00 |
| 3077F |
|
24 |
24 |
$0.00 |