| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,828 |
2,284 |
$134K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,060 |
1,597 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$476.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
55 |
$235.19 |
| 90688 |
|
18 |
14 |
$213.69 |
| 90756 |
|
18 |
13 |
$156.61 |
| 90686 |
|
12 |
12 |
$139.71 |
| 90653 |
|
18 |
12 |
$53.71 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
18 |
12 |
$0.00 |