| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,761 |
1,609 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
550 |
480 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
48 |
48 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
53 |
$1K |
| 81003 |
|
16 |
16 |
$10.90 |
| 1159F |
|
108 |
107 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
355 |
348 |
$0.00 |
| 1160F |
|
224 |
212 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
365 |
341 |
$0.00 |