| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,166 |
1,039 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
400 |
364 |
$13K |
| 90756 |
|
14 |
14 |
$240.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$184.05 |
| 90686 |
|
14 |
13 |
$143.18 |
| 90688 |
|
12 |
12 |
$123.23 |
| 81002 |
|
25 |
25 |
$37.31 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$19.39 |