| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,852 |
5,612 |
$69K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,286 |
1,283 |
$24K |
| 99215 |
Prolong outpt/office vis |
1,304 |
1,303 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
342 |
342 |
$17K |
| 90756 |
|
627 |
627 |
$13K |
| 99429 |
|
431 |
430 |
$10K |
| 3008F |
|
389 |
388 |
$8K |
| 3079F |
|
107 |
107 |
$2K |
| 1158F |
|
92 |
92 |
$2K |
| 90694 |
|
60 |
60 |
$348.76 |
| 1170F |
|
95 |
95 |
$347.50 |
| 1160F |
|
95 |
95 |
$345.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$270.00 |
| 3075F |
|
13 |
13 |
$183.75 |
| 1125F |
|
26 |
26 |
$55.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
220 |
220 |
$18.95 |
| G0008 |
Administration of influenza virus vaccine |
299 |
299 |
$0.00 |