| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,936 |
1,893 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,035 |
1,002 |
$48K |
| 99051 |
|
162 |
162 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
186 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$719.56 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$286.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$264.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$151.00 |
| 3074F |
|
923 |
897 |
$0.00 |
| 3008F |
|
1,288 |
1,240 |
$0.00 |
| 3079F |
|
352 |
339 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
139 |
139 |
$0.00 |
| 3078F |
|
351 |
341 |
$0.00 |